| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1275503054 |
| License Number: | 22079 |
| License State: | SC |
| Medical School: | Med Coll Of Ga Sch Of Med, Augusta Ga 30912 |
| Residency Training: | Atlanta Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1979 |
| Certifications: | Occupational Medicine |