Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1993
NPI: 1609980895
Practice Locations (2)
HALIFAX REGIONAL HOSPITAL INC
115 COLLEGE ST
CLARKSVILLE, VA 239279125
4343745344
HALIFAX REGIONAL HOSPITAL INC
101 AUBREYS LOOP
SOUTH BOSTON, VA 245925054
4345178627
Source: CMS National Downloadable File, September 2026.