Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1093397440
Practice Locations (2)
ATHLETICO LTD
630 EUCLID AVE, SUITE 140
LEXINGTON, KY 405021997
8593039980
ATHLETICO LTD
6413 NEW DUTCHMAN PKWY
LOUISVILLE, KY 402053339
5026943500
Source: CMS National Downloadable File, September 2026.