Graduated: 1994
NPI: 1881739456
Practice Locations (5)
PAI PARTICIPANT 1 LLC
1540 FOUNDERS PL
CHARLOTTESVILLE, VA 229028733
4344224800
OBSERVATION PHYSICIANS OF TIDEWATER
830 KEMPSVILLE RD
NORFOLK, VA 235023920
7572616000
SENTARA MEDICAL GROUP
830 KEMPSVILLE RD, 2B223
NORFOLK, VA 235023920
7572618860
SENTARA MEDICAL GROUP
850 KEMPSVILLE RD
NORFOLK, VA 235023920
OBSERVATION PHYSICIANS OF TIDEWATER
2800 GODWIN BLVD
SUFFOLK, VA 234348038
7579344000
Source: CMS National Downloadable File, September 2026.