Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2004
NPI: 1134395072
Practice Locations (3)
WIREGRASS WOUND AND AMPUTATION PREVENTION CENTER LLC
2967 ROSS CLARK CIR
DOTHAN, AL 363011119
3343052085
WIREGRASS WOUND AND AMPUTATION PREVENTION CENTER LLC
3122 SOUTHRIDE LN
BONIFAY, FL 324253325
8505470011
WIREGRASS WOUND AND AMPUTATION PREVENTION CENTER LLC
11740 COLUMBIA ST
BLAKELY, GA 398232574
3343052085
Source: CMS National Downloadable File, September 2026.