Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1649279274
Practice Locations (1)
AMG-SOUTHERN TENNESSEE LLC
2118 COWAN HWY
WINCHESTER, TN 373982637
9319624040
Source: CMS National Downloadable File, September 2026.