Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1174553440
Practice Locations (3)
PO BOX, SUITE 11407
BIRMINGHAM, AL 35246
3245 HEALTH DR, SUITE 100
GRANGER, IN 465301380
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 374022571
Source: CMS National Downloadable File, September 2026.