Graduated: 2001
Offers telehealth
NPI: 1316988553
Practice Locations (3)
6024 CHARLES EDWARD TER
COLUMBIA, MD 210455096
4108840274
6024 CHARLES EDWARD TERRACE
COLUMBIA, MD 210455096
9881 BROKEN LAND PKWY, SUITE 105
COLUMBIA, MD 210463015
4438316350
Source: CMS National Downloadable File, September 2026.