Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1992
NPI: 1104879311
Practice Locations (1)
PROFESSIONAL ANESTHESIA SERVICE,INC.
4605 MACCORKLE AVE SW, THOMAS MEMORIAL HOSPITAL
SOUTH CHARLESTON, WV 253091398
3047663600
Source: CMS National Downloadable File, September 2026.