Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1985
NPI: 1023002458
Practice Locations (2)
2300 THORNTON TAYLOR PKWY C
Fayetteville, TN 373343655
2300 THORNTON TAYLOR PKWY C
FAYETTEVILLE, TN 373343655
9314333084
Source: CMS National Downloadable File, September 2026.