Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1976
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1831175165
Practice Locations (1)
NOVANT HEALTH URGENT CARES LLC
3424 SHELBY RAY CT
CHARLESTON, SC 294145838
8434026834
Source: CMS National Downloadable File, September 2026.