Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1975
NPI: 1245387737
Practice Locations (3)
SOUTHEASTERN PHYSICIAN SERVICES PC
6019 WALNUT GROVE RD
MEMPHIS, TN 381202113
9012265000
SOUTHEASTERN PHYSICIAN SERVICES PC
6019 WALNUT GROVE RD, FL 4
MEMPHIS, TN 381202113
9012265000
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.