Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1995
NPI: 1710931068
Practice Locations (2)
2000 HEALTH PARK DR
BRENTWOOD, TN 370274692
1751 EARL L CORE RD
MORGANTOWN, WV 265055891
Source: CMS National Downloadable File, September 2026.