Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1981
NPI: 1104821743
Practice Locations (2)
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
4307 HWY 68 S
ROGERSVILLE, TN 378573155
4239211300
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
PO BOX, SUITE 850
ROGERSVILLE, TN 37857
Source: CMS National Downloadable File, September 2026.