Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1992
NPI: 1902997570
Practice Locations (2)
1305 13TH ST, SUITE A2
Waynesboro, VA 229803631
1305 13TH ST
WAYNESBORO, VA 229803631
5409499441
Source: CMS National Downloadable File, September 2026.