Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1437258506
Practice Locations (2)
SOUTHWELL AMBULATORY INC
3014 N PATTERSON ST
VALDOSTA, GA 316021711
2292626815
SELECT REHABILITATION, LLC
2600 COMPASS RD
GLENVIEW, IL 600268001
Source: CMS National Downloadable File, September 2026.