Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1932136645
Practice Locations (2)
2430 FAIRLANE DR, SUITE C 7
Montgomery, AL 361161641
2430 FAIRLANE DR, SUITE 7
MONTGOMERY, AL 361161641
Source: CMS National Downloadable File, September 2026.