Graduated: 1978
NPI: 1881626091
Practice Locations (2)
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1836 S AVE
LA CROSSE, WI 546015429
6087837300
Source: CMS National Downloadable File, September 2026.