Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1780642934
Practice Locations (2)
130 W RAVINE RD
KINGSPORT, TN 376603837
4232245500
671 HWY 58 E
NORTON, VA 242733007
2766795874
Source: CMS National Downloadable File, September 2026.