Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1114041662
Practice Locations (2)
1376 BRICKYARD RD, SUITE 1
CHIPLEY, FL 324286303
8506380678
PO BOX, SUITE 741
CHIPLEY, FL 324280741
Source: CMS National Downloadable File, September 2026.