Medical school: COLLEGE OF MEDICINE AND SURGERY
Graduated: 1978
NPI: 1538343611
Practice Locations (2)
7011 SHALLOWFORD RD, SUITE 101
Chattanooga, TN 374216727
7011 SHALLOWFORD RD, SUITE 101
CHATTANOOGA, TN 374216727
4234859008
Source: CMS National Downloadable File, September 2026.