Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1983
Also: GERIATRIC MEDICINE
NPI: 1932295342
Practice Locations (2)
1039 PO BOX
FAYETTEVILLE, TN 373341039
2330 THORNTON TAYLOR PKWY A
FAYETTEVILLE, TN 373343673
9314339900
Source: CMS National Downloadable File, September 2026.