Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1700810918
Practice Locations (2)
SOUTHSIDE EYE CENTER PC
1511 W 3RD ST
FARMVILLE, VA 239012649
4343929555
SOUTHSIDE EYE CENTER PC
1511 W 3RD ST, PO BOX 506
FARMVILLE, VA 239010506
Source: CMS National Downloadable File, September 2026.