Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1124078605
Practice Locations (2)
CARILION PROFESSIONAL SERVICES LLC
1906 BELLEVIEW AVE SE
ROANOKE, VA 240141838
5408530222
CARILION PROFESSIONAL SERVICES LLC
180 FLOYD AVE
ROCKY MOUNT, VA 241511318
5404896353
Source: CMS National Downloadable File, September 2026.