Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1967
NPI: 1801847025
Practice Locations (3)
1995 HWY 51 S 102
Covington, TN 380193654
1995 HWY 51 S, SUITE 102
COVINGTON, TN 380193654
9012011921
1995 HWY 51 S 102
COVINGTON, TN 380193654
Source: CMS National Downloadable File, September 2026.