Graduated: 1998
NPI: 1912956939
Practice Locations (2)
TOMBIGBEE HEALTHCARE AUTHORITY
105 US HWY 80 E
DEMOPOLIS, AL 367323605
3342894000
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
163 S TALLAHASSEE ST
HAZLEHURST, GA 315396465
9123757781
Source: CMS National Downloadable File, September 2026.