Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1770580722
Practice Locations (1)
BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC.
225 NATCHEZ TRACE AVE
BOWLING GREEN, KY 421037995
2707833573
Source: CMS National Downloadable File, September 2026.