Graduated: 2023
NPI: 1124808803
Practice Locations (2)
SULLIVAN COUNTY COMMUNITY HOSPITAL
2186 N HOSPITAL BLVD, 2 LAKESIDE FAMILY MEDICAL
SULLIVAN, IN 478827654
8122683318
SULLIVAN COUNTY COMMUNITY HOSPITAL
2229 MARY SHERMAN DR
SULLIVAN, IN 478827633
8122683318
Source: CMS National Downloadable File, September 2026.