Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1997
Also: INTERNAL MEDICINE
NPI: 1184696148
Practice Locations (3)
LEGACY CARE ACO LLC
7600 AUTUMN PARK WAY
MECHANICSVILLE, VA 231163868
8047300009
LEGACY CARE ACO LLC
3750 SENTARA WAY
VIRGINIA BEACH, VA 234524200
7579011580
LEGACY CARE LLC
780 LYNNHAVEN PKWY, SUITE 400
VIRGINIA BEACH, VA 234527332
7575362246
Source: CMS National Downloadable File, September 2026.