Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1996
NPI: 1104879006
Practice Locations (4)
PAI PARTICIPANT 5 PC
101 13TH ST
HUNTINGTON, WV 257011653
3045257622
M MEDICAL GROUP, INC.
1720 17TH ST
HUNTINGTON, WV 257014235
3045296031
VALLEY HEALTH SYSTEMS, INC
4270 US ROUTE 60
HUNTINGTON, WV 257052936
3047815001
PAI PARTICIPANT 5 PC
700 MADISON AVE
HUNTINGTON, WV 257042630
3045220032
Source: CMS National Downloadable File, September 2026.