Graduated: 1983
NPI: 1275608853
Practice Locations (5)
IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 366041416
2514351200
CONWAY REGIONAL MEDICAL CENTER INC
2200 ADA AVE, SUITE 201
CONWAY, AR 720344984
5018521360
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
1510 VERNON RD
LAGRANGE, GA 302404131
7068453905
WELLSTAR MEDICAL GROUP LLC
1514 VERNON RD
LAGRANGE, GA 302404131
7068807222
Source: CMS National Downloadable File, September 2026.