Graduated: 2000
NPI: 1053578856
Practice Locations (2)
CENTERCARE FAMILY PRACTICE LLC
15521 REAL ESTATE AVE
KING GEORGE, VA 224855327
5402892273
PEDSPLUS URGENT CARE LLC
15521 REAL ESTATE AVE
KING GEORGE, VA 224855327
5402892273
Source: CMS National Downloadable File, September 2026.