Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1013937481
Practice Locations (1)
COOKEVILLE REGIONAL MEDICAL CENTER
1 MEDICAL CTR BLVD
COOKEVILLE, TN 385014294
9317832497
Source: CMS National Downloadable File, September 2026.