Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1987
Also: ADDICTION MEDICINE
NPI: 1750308664
Practice Locations (1)
REVIVAL PAIN MANAGEMENT INC
1925 N BRIDGE ST, SUITE 101
ELKIN, NC 286212105
3368355330
Source: CMS National Downloadable File, September 2026.