Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1265462568
Practice Locations (2)
UNIVERSAL HEALTH CORPORATION
414 ALGONQUIN RD
HAMPTON, VA 236611605
5408145344
PAI PARTICIPANT 1 LLC
1945 ROANOKE BLVD
SALEM, VA 241536408
5403453894
Source: CMS National Downloadable File, September 2026.