Graduated: 2022
NPI: 1609584960
Practice Locations (4)
THEORIA MEDICAL
540 WAUGH ST
JEFFERSON, NC 286409034
2486601220
UNIVERSAL HEALTH CORPORATION
5872 HANKS AVE
DUBLIN, VA 240842833
5408145344
PAI PARTICIPANT 1 LLC
1945 ROANOKE BLVD
SALEM, VA 241536408
5403453894
THEORIA MEDICAL
1948 LANDSTOWN CENTRE WAY
VIRGINIA BEACH, VA 234561624
2486601220
Source: CMS National Downloadable File, September 2026.