Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1993
NPI: 1578586798
Practice Locations (2)
IMC NORTH BALDWIN PHYSICIAN GROUP LLC
2004 MEDICAL CTR DR
BAY MINETTE, AL 365074163
2519372380
LAWTON INDIAN HOSPITAL
1515 NE LAWRIE TATUM RD
LAWTON, OK 735073002
5803545000
Source: CMS National Downloadable File, September 2026.