Graduated: 1985
NPI: 1306800552
Practice Locations (2)
VANDERBILT UNIVERSITY MEDICAL CENTER
10755 EAGLE WAY, BLUE CREEK MEDICAL OFFICE BLDG SUITE 203
HOPKINVILLE, KY 422408742
6153222318
VANDERBILT UNIVERSITY MEDICAL CENTER
1301 22ND AVE S
NASHVILLE, TN 372325100
6153223000
Source: CMS National Downloadable File, September 2026.