Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1316946122
Practice Locations (2)
VANDERBILT UNIVERSITY MEDICAL CENTER
1301 MEDICAL CTR DR
NASHVILLE, TN 372320028
6153225000
VANDERBILT INTEGRATED PROVIDERS LLC
120 FRANK MARTIN RD
SHELBYVILLE, TN 371607194
9316858780
Source: CMS National Downloadable File, September 2026.