Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1134218100
Practice Locations (2)
1300 CAMPBELL LN
BOWLING GREEN, KY 421044162
4235100092
113 CASSEL DR
KINGSPORT, TN 376603775
4237787842
Source: CMS National Downloadable File, September 2026.