Graduated: 1989
NPI: 1104881200
Practice Locations (2)
MEDICAL PRACTICES OF ANTIETAM, LLC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
MERITUS URGENT CARE LLC
17301 VALLEY MALL RD, SUITE 125
HAGERSTOWN, MD 217406966
3017909239
Source: CMS National Downloadable File, September 2026.