Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2003
NPI: 1376591560
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
1280 MAIN ST A
ALTAVISTA, VA 245171465
4343091165
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.