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LICENSE # 0101223147
Issue Date: 10/29/1999
Expiration Date: 9/30/2020
Status: Current Active

General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.

Primary Practice Address
Last Updated 8/8/2008
Dept of Plastic Surgery
Building 2, 2nd Floor,Charette Health Center
620 John Paul Jones Circle
Portsmouth, , VA 23708
Phone: 757-953-2883

Location Details

  • Practitioner spends 100% of time at this location.
  • Days that practitioner sees patients at this location:
  • Translation services are available.
    Type(s) of Translation Services Available:
    Hearing impaired
    Non-English language(s) spoken
  • Non-English Languages spoken in Office

  • Non-English Languages spoken by Practitioner

Years in Active Clinical Practice
Last Updated 8/8/2008
Years in Active Clinical Practice Inside US/Canada: 17
Last Updated 8/8/2008
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Virginia Hospital Affiliations
Last Updated 8/8/2008
Naval Medical Center, Portsmouth (admit)
Hospital Affiliations in States Other Than Virginia
Last Updated 8/8/2008
None Reported