Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1114474921
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL PATHOLOGY
NEWARK, OH 430551822
2205644266
GENESIS ANESTHESIA PROVIDERS, LLC
2951 MAPLE AVE
ZANESVILLE, OH 437011406
7404545000
Source: CMS National Downloadable File, September 2026.