Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1144290529
Practice Locations (2)
STATERA HEALTH CARE LLC
28 CHICK ST
METROPOLIS, IL 629602467
6184272680
EMERGI-TRUST
4321 CAROTHERS PKWY
FRANKLIN, TN 370675909
7812801640
Source: CMS National Downloadable File, September 2026.