Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1994
NPI: 1447232228
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
2007 GRAVES MILL RD
FOREST, VA 245512656
4343858948
JOHNSON HEALTH CENTER
2402 ATHERHOLT RD
LYNCHBURG, VA 245012148
4342006401
Source: CMS National Downloadable File, September 2026.