Graduated: 2013
NPI: 1477990968
Practice Locations (3)
600 CENTURY PARK S, SUITE 220
BIRMINGHAM, AL 352263931
2101 E JEFFERSON ST, SUITE 6W PPQA
Rockville, MD 208524908
KAISER PERMANENTE 2101 E JEFFERSON ST, SUITE 6 WEST PPQA
ROCKVILLE, MD 208524908
Source: CMS National Downloadable File, September 2026.