Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1376551036
Practice Locations (4)
NV PACS 2 LLC
195 BURDETTE ST
SPARTANBURG, SC 293071003
8645622222
NV PACS 2 LLC
5011 TROTWOOD AVE
COLUMBIA, TN 384017019
9313801000
SOUTHEASTERN PHYSICIAN SERVICES PC
103 N ST
BRISTOL, VA 242013201
2762467240
NV PACS 2 LLC
6800 LUCY CORR CT
CHESTERFIELD, VA 238326657
8047481511
Source: CMS National Downloadable File, September 2026.