Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 1980
NPI: 1912955147
Practice Locations (2)
ICH ER SERVICES OF ALABAMA, LLC
2016 S ALABAMA AVE
MONROEVILLE, AL 364603044
2515753111
NEWGEN ALABAMA BILLING LLC
2016 S ALABAMA AVE
MONROEVILLE, AL 364603044
2515753111
Source: CMS National Downloadable File, September 2026.