Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1996
NPI: 1588667380
Practice Locations (2)
SOUTHEASTERN PATHOLOGY, P.C.
200 MEDICAL CTR DR SW
FORT PAYNE, AL 359683458
2568453150
SOUTHEASTERN PATHOLOGY, P.C.
311 W 8TH ST NE
ROME, GA 301652723
7062918702
Source: CMS National Downloadable File, September 2026.