Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1985
Also: ORTHOPEDIC SURGERY
NPI: 1568414886
Practice Locations (1)
SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION
12134 VICTORY BLVD, SUITE C
NORTH HOLLYWOOD, CA 916063205
8187628702
Source: CMS National Downloadable File, September 2026.