Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2004
NPI: 1720200645
Practice Locations (1)
CHARLESTON AREA MEDICAL CENTER INC
3100 MACCORKLE AVE SE, SUITE 700B
CHARLESTON, WV 253041223
3043511600
Source: CMS National Downloadable File, September 2026.