Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1750320453
Practice Locations (2)
1050 N JAMES CAMPBELL BLVD, SUITE 100
COLUMBIA, TN 384012754
1050 N JAMES CAMPBELL BLVD, SUITE 100
COLUMBIA, TN 384013563
9313817000
Source: CMS National Downloadable File, September 2026.