Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1996
NPI: 1386689867
Practice Locations (1)
SOUTHERN ORTHOPEDIC SPINE SURGERY LLC
1399 JENKS AVE, BLDG G
PANAMA CITY, FL 324012596
8507712001107
Source: CMS National Downloadable File, September 2026.