Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1659312106
Practice Locations (2)
PATHWAYS OF TENNESSEE INC
238 SUMMAR DR
JACKSON, TN 383013906
7315418270
PATHWAYS OF TENNESSEE INC
223 S COURT ST
TIPTONVILLE, TN 380791305
7312537780
Source: CMS National Downloadable File, September 2026.