Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1983
NPI: 1033180948
Practice Locations (3)
NOMA PC
111 STONEBRIDGE BLVD
JACKSON, TN 383052040
7314277888
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
PRIVIA MEDICAL GROUP TENNESSEE LLC
4998 CROSSINGS CIR, SUITE 200
MT JULIET, TN 371220018
6155535000
Source: CMS National Downloadable File, September 2026.