Graduated: 2014
NPI: 1346632783
Practice Locations (2)
MOUNTAIN STATES HEALTH ALLIANCE
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 376046909
4232326909
MOUNTAIN STATES HEALTH ALLIANCE
1901 S SHADY ST
MOUNTAIN CITY, TN 376832021
4237271103
Source: CMS National Downloadable File, September 2026.