Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1760461222
Practice Locations (2)
EMERGENCY MEDICAL CARE FACILITIES PC
620 SKYLINE DR
JACKSON, TN 383013923
7315415000
FAMILY MEDICAL CLINIC OF TREZEVANT
45 HURT ST
TREZEVANT, TN 382582505
7312070323
Source: CMS National Downloadable File, September 2026.