Graduated: 1991
NPI: 1134336563
Practice Locations (3)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046034
4234317042
FRONTIER HEALTH
1570 WAVERLY RD
KINGSPORT, TN 376642523
4234673600
FRONTIER HEALTH
1006 US HWY 23 N
WEBER CITY, VA 242907021
2762250976
Source: CMS National Downloadable File, September 2026.