Graduated: 1996
NPI: 1235169178
Practice Locations (2)
CLAY COUNTY HEALTHCARE AUTHORITY
83825 HWY 9
ASHLAND, AL 362517981
2563541195
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
619 19TH ST S
BIRMINGHAM, AL 352491900
2059344011
Source: CMS National Downloadable File, September 2026.