Graduated: 1980
NPI: 1538131073
Practice Locations (2)
MAURY REGIONAL HOSPITAL
617 W MAIN ST
HOHENWALD, TN 384621355
9317964901
SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC
103 JV MANGUBAT DR
WAYNESBORO, TN 384852440
9317225411
Source: CMS National Downloadable File, September 2026.