Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1265520662
Practice Locations (2)
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CTR CIR
MAYFIELD, KY 420661189
PREMIER MEDICAL GROUP PC
490 DUNLOP LN
CLARKSVILLE, TN 370405007
9312457000
Source: CMS National Downloadable File, September 2026.