Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1988
NPI: 1326012949
Practice Locations (2)
PO BOX, SUITE 11407
BIRMINGHAM, AL 35246
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 374022571
Source: CMS National Downloadable File, September 2026.