Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1977
NPI: 1033191986
Practice Locations (2)
15155 HWY 43
RUSSELLVILLE, AL 356531975
2533321611
481 INTERSTATE DR
MANCHESTER, TN 373553108
9317286354
Source: CMS National Downloadable File, September 2026.