Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1982
NPI: 1497723423
Practice Locations (2)
2115 W MAIN ST
Dothan, AL 363011289
2115 W MAIN ST
DOTHAN, AL 363011289
6157788027
Source: CMS National Downloadable File, September 2026.