Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1073874277
Practice Locations (1)
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
4307 HWY 68 S
ROGERSVILLE, TN 378573155
4239211300
Source: CMS National Downloadable File, September 2026.