Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1508925611
Practice Locations (2)
PO BOX, SUITE 277279
ATLANTA, GA 303847279
200 W MARTIN LUTHER KING BLVD, SUITE 1068
CHATTANOOGA, TN 374022560
Source: CMS National Downloadable File, September 2026.