Medical school: UNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Graduated: 1988
Also: DENTIST, ORAL SURGERY
NPI: 1265694590
Practice Locations (1)
UNIVERSITY OF TENNESSEE
875 UNION AVE, N328
MEMPHIS, TN 381630001
9014486236
Source: CMS National Downloadable File, September 2026.