Graduated: 1974
NPI: 1245288562
Practice Locations (3)
1801 N WASHINGTON ST
TULLAHOMA, TN 373888245
1801 N WASHINGTON ST, SUITE 400
TULLAHOMA, TN 373888245
1801 N WASHINGTON ST, SUITE 400
TULLAHOMA, TN 373888246
9314552201
Source: CMS National Downloadable File, September 2026.