Graduated: 1977
NPI: 1831168004
Practice Locations (2)
TRI STATE CLINIC, INC.
1520 SLATE CREEK RD
GRUNDY, VA 246146975
2769356055
TRI STATE CLINIC, INC.
1520 SLATE CREEK RD, SUITE 103
GRUNDY, VA 246146975
Source: CMS National Downloadable File, September 2026.