Graduated: 2011
NPI: 1730766825
Practice Locations (2)
HOUSTON COUNTY HEALTHCARE AUTHORITY
1108 ROSS CLARK CIR
DOTHAN, AL 363013022
3347938087
GEISINGER CLINIC
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110001
5708267850
Source: CMS National Downloadable File, September 2026.