Medical school: UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated: 1996
NPI: 1013075969
Practice Locations (3)
330 EVERGREEN DR
Deatsville, AL 360224420
330 EVERGREEN DR
DEATSVILLE, AL 360224420
454 MCQUEEN SMITH RD S
PRATTVILLE, AL 360665631
Source: CMS National Downloadable File, September 2026.