Graduated: 1983
NPI: 1629028782
Practice Locations (2)
COFFEE COUNTY PHYSICIAN GROUP PC
15155 HWY 43
RUSSELLVILLE, AL 356531975
2563321611
COFFEE COUNTY PHYSICIAN GROUP PC
481 INTERSTATE DR
MANCHESTER, TN 373553108
9317286354
Source: CMS National Downloadable File, September 2026.