Graduated: 2000
NPI: 1699767095
Practice Locations (2)
AUGUSTA MEDICAL GROUP
78 MEDICAL CTR DR
FISHERSVILLE, VA 229392332
5409324075
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.