Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1639179609
Practice Locations (2)
CITY OF JACKSON HEALTHCARE AUTHORITY
227 HOSPITAL DR
JACKSON, AL 365452423
2512464446
GHS JMC CLINICS LLC
227 HOSPITAL DR
JACKSON, AL 365452423
2512464446
Source: CMS National Downloadable File, September 2026.