Graduated: 1997
NPI: 1902210685
Practice Locations (2)
MARY WASHINGTON HEALTHCARE PROVIDERS LLC
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 224014453
5407415610
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.