Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1979
NPI: 1962454884
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST, SUITE A
EUREKA, CA 955034866
7072672070
SPARTANBURG MEDICAL CENTER
2755 S HWY 14, SUITE 2350
GREER, SC 296504939
8645838647
Source: CMS National Downloadable File, September 2026.