Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1275648198
Practice Locations (2)
2055 EVELYN AVE
MEMPHIS, TN 381045603
902 S COOPER ST
MEMPHIS, TN 381045603
9012064131
Source: CMS National Downloadable File, September 2026.