Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1983
NPI: 1831190446
Practice Locations (3)
10 VALLEY ST, SUITE 101
PETERSBURG, WV 268479568
3042572152
GRANT COUNTY BOARD OF HEALTH
739 N FORK HWY
PETERSBURG, WV 268475535
3042574922
GRANT COUNTY BOARD OF HEALTH
PO BOX, SUITE 608
PETERSBURG, WV 26847
Source: CMS National Downloadable File, September 2026.