Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1992
NPI: 1801987292
Practice Locations (2)
COLQUITT REGIONAL MEDICAL CENTER
3131 S MAIN ST
MOULTRIE, GA 317686925
2295029769
SELECT REHABILITATION, LLC
2600 COMPASS RD
GLENVIEW, IL 600268001
Source: CMS National Downloadable File, September 2026.