Graduated: 1992
NPI: 1477592558
Practice Locations (2)
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
619 19TH ST S
BIRMINGHAM, AL 352491900
2059344011
BLUE LAKE HEALTH ALABAMA, LLC
103 HELTON CT
FLORENCE, AL 356301464
2058482925
Source: CMS National Downloadable File, September 2026.