Graduated: 1985
NPI: 1114996550
Practice Locations (2)
CARILION MEDICAL CENTER
2017 JEFFERSON ST SW
ROANOKE, VA 240142419
5409817925
CARILION MEDICAL CENTER
2017 S JEFFERSON ST
ROANOKE, VA 240142419
5409817128
Source: CMS National Downloadable File, September 2026.