Graduated: 2016
NPI: 1184164089
Practice Locations (2)
BLAND COUNTY MEDICAL CLINIC INC
12301 GRAPEFIELD RD
BASTIAN, VA 243144547
2766884331316
STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL
454 MCDOWELL ST
WELCH, WV 248012029
Source: CMS National Downloadable File, September 2026.