Graduated: 2022
NPI: 1396495321
Practice Locations (5)
PO BOX
LEWISTON, ME 04243
36 LANCASTER ST
LYNBROOK, NY 115631844
1208 KING ST, SUITE 405
Chattanooga, TN 374034360
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 374022571
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 374034100
Source: CMS National Downloadable File, September 2026.