Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2015
NPI: 1437532728
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
800 OAK ST
FARMVILLE, VA 239011199
4343152998
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.