Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/7/2022
1000 Mar Walt Dr
Fort Walton Beach, Florida 32547
Phone: 850-864-4033
Fax: 8665573846
Location Details
- Practitioner spends 10% of time at this location.
Additional Practice Address
Last Updated 9/7/2022
1900 Electric Rd
Salem, VA 24153
Phone: 540-776-4000
Fax:
Location Details
- Practitioner spends 0% of time at this location.
Years in Active Clinical Practice
Last Updated 9/7/2022
Years in Active Clinical Practice Inside US/Canada: 0
Medicaid
Last Updated 9/7/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 9/7/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/7/2022
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