Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1974
NPI: 1770548059
Practice Locations (1)
NOVANT HEALTH URGENT CARES LLC
3424 SHELBY RAY CT
CHARLESTON, SC 294145838
8434026834
Source: CMS National Downloadable File, September 2026.