Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1679786354
Practice Locations (1)
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
4145 CARMICHAEL RD
MONTGOMERY, AL 361062803
3342737000
Source: CMS National Downloadable File, September 2026.