Graduated: 2003
NPI: 1215983671
Practice Locations (3)
2121 HWY 12 S, UNIT 163
ASHLAND CITY, TN 370153943
PO BOX, SUITE 22757
Chattanooga, TN 374222757
810 DOMINICAN DR, SUITE 311
NASHVILLE, TN 372281906
6157878377
Source: CMS National Downloadable File, September 2026.