Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1265409288
Practice Locations (3)
108 STRAIGHT AWAY LANE
LAUREL FORK, VA 243523988
108 STRAIGHT AWAY LN
LAUREL FORK, VA 243523988
1205 STONE MOUNTAIN RD
LAUREL FORK, VA 243524058
2763982532
Source: CMS National Downloadable File, September 2026.