Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1974
NPI: 1922049105
Practice Locations (2)
137 COTTON MILL CIR, UNIT 702
EDENTON, NC 279322115
420 ELLIOTT ST, SUITE B
EDENTON, NC 279322010
2524822210
Source: CMS National Downloadable File, September 2026.