Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1164490991
Practice Locations (3)
JACKSON CLINIC PA
145 INNOVATION DR
JACKSON, TN 383053019
7314220213
JACKSON CLINIC PA
2859 HWY 45 BYP
JACKSON, TN 383053618
7316641375
JACKSON CLINIC PA
2863 HWY 45 BYP
JACKSON, TN 383053618
7316641375
Source: CMS National Downloadable File, September 2026.