Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1295804862
Practice Locations (2)
1021 W OAKLAND AVE, SUITE 310
JOHNSON CITY, TN 376042192
509 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 376042578
Source: CMS National Downloadable File, September 2026.