Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1205984416
Practice Locations (2)
LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
925 BEVINS CT
LAKEPORT, CA 954539754
70726383821204
SELF REGIONAL HEALTHCARE
106 LINER DR
GREENWOOD, SC 296462310
8642276371
Source: CMS National Downloadable File, September 2026.