Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2005
NPI: 1124232954
Practice Locations (3)
PO BOX, SUITE 70
Dawes, WV 250540070
4290 US ROUTE 60
HUNTINGTON, WV 257052936
1751 EARL L CORE RD
MORGANTOWN, WV 265055891
Source: CMS National Downloadable File, September 2026.