Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1989
NPI: 1659318004
Practice Locations (1)
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
2065 E S BLVD, SUITE 204
MONTGOMERY, AL 361162460
3347477300
Source: CMS National Downloadable File, September 2026.