Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1982
NPI: 1902891260
Practice Locations (2)
21 E 5TH ST N
BIG STONE GAP, VA 242192361
2765241292
PO BOX, SUITE 1205
NORTON, VA 24273
Source: CMS National Downloadable File, September 2026.