Graduated: 1995
NPI: 1780111831
Practice Locations (2)
COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB
1509 6TH AVE S
BIRMINGHAM, AL 352331601
2059303200
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
619 19TH ST S
BIRMINGHAM, AL 352491900
2059344011
Source: CMS National Downloadable File, September 2026.