Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1770551640
Practice Locations (2)
507 NW ATLANTA ST
TULLAHOMA, TN 373883504
507 NW ATLANTIC ST, SUITE 2
TULLAHOMA, TN 373883504
9313934332
Source: CMS National Downloadable File, September 2026.