Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1134127343
Practice Locations (2)
8731 RUTLEDGE PIKE
Rutledge, TN 378613112
8731 RUTLEDGE PIKE
RUTLEDGE, TN 378613112
8658285595
Source: CMS National Downloadable File, September 2026.