Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1981
NPI: 1124111844
Practice Locations (2)
10 CROSSROADS DR, SUITE 100
OWINGS MILLS, MD 211175459
4103637172
215 WASHINGTON HEIGHTS MED CTR
WESTMINSTER, MD 211575632
4108762525
Source: CMS National Downloadable File, September 2026.