Graduated: 1998
NPI: 1124098777
Practice Locations (2)
ULTRA HEALTH LLC
4128 OLD JACKSON RD
BELLS, TN 380064261
7313941145
ULTRA HEALTH PROVIDERS II LLC
4347 LEBANON PIKE
HERMITAGE, TN 370761243
7313941145
Source: CMS National Downloadable File, September 2026.