Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1976
NPI: 1336102912
Practice Locations (3)
210 W CEDAR AVE
Cookeville, TN 385012419
210 N CEDAR AVE
COOKEVILLE, TN 385012419
210 N CEDAR ST
COOKEVILLE, TN 385012419
9315287418
Source: CMS National Downloadable File, September 2026.