Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1821143116
Practice Locations (2)
932 E BADDOUR PKWY
LEBANON, TN 370873707
6154495170
810 DOMINICAN DR, SUITE 211
NASHVILLE, TN 372281906
6153200321
Source: CMS National Downloadable File, September 2026.