Graduated: 1999
NPI: 1730413691
Practice Locations (2)
DCH HEALTHCARE AUTHORITY
1653 TEMPLE AVE N
FAYETTE, AL 355551314
2053334655
DCH HEALTHCARE AUTHORITY
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 354012029
2057597800
Source: CMS National Downloadable File, September 2026.