Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1976
NPI: 1306160296
Practice Locations (1)
SOUTHERN IMMEDIATE CARE, LLC
4100 MCCLELLAN BLVD
ANNISTON, AL 362012132
2562352273
Source: CMS National Downloadable File, September 2026.