Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1225082902
Practice Locations (3)
112 6TH AVE
Atmore, AL 365022622
112 6TH AVE
ATMORE, AL 365022622
112 6TH AVEUNE
ATMORE, AL 365022622
2513688999
Source: CMS National Downloadable File, September 2026.