Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
NPI: 1588605729
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1371 W MAIN ST
NEWARK, OH 430553681
2205641965
LEXINGTON HEALTH INC
2728 SUNSET BLVD, SUITE 400
WEST COLUMBIA, SC 291694872
8039367095
Source: CMS National Downloadable File, September 2026.