Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1700874971
Practice Locations (2)
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
6719 GOVERNOR GC PEERY HWY, SUITE 1000
RICHLANDS, VA 246410280
2765966715
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVE
JANESVILLE, WI 535482940
6087566000
Source: CMS National Downloadable File, September 2026.