Graduated: 1973
NPI: 1710939376
Practice Locations (2)
IVY CREEK OF ELMORE LLC
500 HOSPITAL DR
WETUMPKA, AL 360921625
3345143848
IVY CREEK MEDICAL ASSOCIATES
73996 TALLASSEE HWY
WETUMPKA, AL 360927310
3345674116
Source: CMS National Downloadable File, September 2026.