Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1871573196
Practice Locations (2)
1100 KERMIT DR, SUITE 106
Nashville, TN 372172121
1100 KERMIT DR, SUITE 106
NASHVILLE, TN 372172121
6153616953
Source: CMS National Downloadable File, September 2026.