Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1981
NPI: 1710926456
Practice Locations (2)
PIKEVILLE MEDICAL CENTER INC
911 BYPASS RD, BLDG A
PIKEVILLE, KY 415011689
6064303500
COFFEE COUNTY PHYSICIAN GROUP PC
481 INTERSTATE DR
MANCHESTER, TN 373553108
9317286354
Source: CMS National Downloadable File, September 2026.