Graduated: 2019
NPI: 1174153555
Practice Locations (2)
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC
106 MEDICAL CTR BLVD
FAYETTEVILLE, TN 373342684
9314381100
NORTHSIDE MEDICAL PROFESSIONALS, P.C.
641 E COMMERCE ST
LEWISBURG, TN 370912842
9315404210
Source: CMS National Downloadable File, September 2026.