Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1316086606
Practice Locations (1)
879 W JACKSON ST
COOKEVILLE, TN 385015901
9314863345
Source: CMS National Downloadable File, September 2026.