Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1994
Also: PEDIATRIC MEDICINE
NPI: 1407940984
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
265 WESTERN AVE, SUITE 2
SOUTH PORTLAND, ME 041062458
2073967606
Source: CMS National Downloadable File, September 2026.