Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2019
NPI: 1861953069
Practice Locations (2)
PO BOX, SUITE 780
Morgantown, WV 265070780
203 E 4TH AVE
RANSON, WV 254381617
Source: CMS National Downloadable File, September 2026.