Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1467543140
Practice Locations (2)
1025 CORDOVA STATION AVE
Cordova, TN 380183122
1025 CORDOVA STATION AVE
CORDOVA, TN 380183122
9015074400
Source: CMS National Downloadable File, September 2026.