Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1366435711
Practice Locations (2)
1015 PEERLESS CROSSING DR NW
CLEVELAND, TN 373123895
1015 PEERLESS CROSSING NW
CLEVELAND, TN 373123895
4234798544
Source: CMS National Downloadable File, September 2026.