Graduated: 2025
NPI: 1053292813
Practice Locations (2)
WELLMONT MEDICAL ASSOCIATES INC
430 W RAVINE RD
KINGSPORT, TN 376603868
4232453161
DOMINION HEALTH AND FITNESS, INC
4862 DICKENSON HWY, PO BOX 1810
CLINTWOOD, VA 242281810
Source: CMS National Downloadable File, September 2026.