Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2020
NPI: 1164059085
Practice Locations (3)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 376042192
4239528000
STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC
444 CLINCHFIELD DR, SUITE 2500
KINGSPORT, TN 37600
4232302500
DOMINION HEALTH AND FITNESS, INC
4862 DICKENSON HWY, PO BOX 1810
CLINTWOOD, VA 242281810
Source: CMS National Downloadable File, September 2026.