Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1316902620
Practice Locations (2)
WATAUGA ORTHOPAEDICS PLC
2410 SUSANNAH ST
Johnson City, TN 376011748
WATAUGA ORTHOPAEDICS PLC
2410 SUSANNAH ST
JOHNSON CITY, TN 376011748
4232829011
Source: CMS National Downloadable File, September 2026.