Graduated: 2011
NPI: 1174907984
Practice Locations (2)
COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB
1509 6TH AVE S
BIRMINGHAM, AL 352331601
2059303200
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
619 19TH ST S
BIRMINGHAM, AL 352460001
2059343460
Source: CMS National Downloadable File, September 2026.