Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1396804324
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 108
HAGERSTOWN, MD 217426734
3017144041
Source: CMS National Downloadable File, September 2026.