Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1700871480
Practice Locations (3)
1804 HWY 45 BYP 604
JACKSON, TN 38305
257 BANCORP S PKWY
JACKSON, TN 38305
828 N PKWY
JACKSON, TN 383053185
Source: CMS National Downloadable File, September 2026.