Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2004
NPI: 1346347358
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046034
4234317111
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.