Graduated: 2021
NPI: 1861076374
Practice Locations (2)
THS PHYSICIAN PARTNERS INC
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 253091311
3044144800
PROFESSIONAL ANESTHESIA SERVICE,INC.
4605 MACCORKLE AVE SW, THOMAS MEMORIAL HOSPITAL
SOUTH CHARLESTON, WV 253091398
3047663600
Source: CMS National Downloadable File, September 2026.