Graduated: 2021
NPI: 1326772245
Practice Locations (2)
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
505 N ROAN ST
JOHNSON CITY, TN 376014740
4239752000
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
915 HOLSTON HILLS DR
KINGSPORT, TN 376644167
4232461100
Source: CMS National Downloadable File, September 2026.