Graduated: 2019
NPI: 1447882485
Practice Locations (2)
DOMINION HEALTH AND FITNESS, INC
4862 DICKENSON HWY, PO BOX 1810
CLINTWOOD, VA 242281810
APPALACHIAN CENTER FOR EXCELLENCE AND HEALTHCARE INC
116 CENTRE AVE NE
COEBURN, VA 242304023
2764555556
Source: CMS National Downloadable File, September 2026.