Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1659342798
Practice Locations (1)
KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT
1899 EIDER CT
TALLAHASSEE, FL 323084537
8508785143
Source: CMS National Downloadable File, September 2026.