Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1184712911
Practice Locations (2)
3570 GRANDVIEW PKWY, SUITE 100A
BIRMINGHAM, AL 352432033
3570 GRANDVIEW PKWY, SUITE 100A
BIRMINGHAM, AL 352432065
20559592225
Source: CMS National Downloadable File, September 2026.