Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 7/27/2020
None Reported
Additional Practice Address
Last Updated 7/27/2020
Eastern State Hospital
46601 Ironbound Rd
Williamsburg, VA 23188
Phone: 757-253-4309
Location Details
- Practitioner spends 50% of time at this location.
Additional Practice Address
Last Updated 7/27/2020
Western State Hospital
103 Valley Center Drive
Staunton, VA 24402
Phone: 540-332-8211
Location Details
- Practitioner spends 50% of time at this location.
Years in Active Clinical Practice
Last Updated 7/27/2020
Years in Active Clinical Practice Inside US/Canada: 4
Medicaid
Last Updated 7/27/2020
Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 7/27/2020
Is a Medicare participating provider
Is a Medicare Non-participating provider
Virginia
Hospital Affiliations
Last Updated 7/27/2020
Eastern State Hospital (admit)
Western State Hospital (admit)
Hospital Affiliations in States Other Than Virginia
Last Updated 7/27/2020
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