Graduated: 2018
NPI: 1154894210
Practice Locations (2)
GRANT MEMORIAL HOSPITAL INC
10 MULLIGAN DR
PETERSBURG, WV 268471000
3042575013
GRANT MEMORIAL HOSPITAL INC
117 HOSPITAL DR
PETERSBURG, WV 268479566
3042571026
Source: CMS National Downloadable File, September 2026.