Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1174597843
Practice Locations (1)
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
2055 E S BLVD, SUITE 601
MONTGOMERY, AL 361162014
3347472999
Source: CMS National Downloadable File, September 2026.