Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1104892124
Practice Locations (1)
IMC-EASTERN SHORE FAMILY PRACTICE LLC
27961 US HWY 98, SUITE 14
DAPHNE, AL 365264725
2516261175
Source: CMS National Downloadable File, September 2026.