Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1508847856
Practice Locations (2)
420 LOWELL DR, SUITE 103
HUNTSVILLE, AL 358013755
420 LOWELL SEDR, SUITE 107
HUNTSVILLE, AL 35801
2565355997
Source: CMS National Downloadable File, September 2026.