Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2008
NPI: 1396908430
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
300 MED TECH PKWY
JOHNSON CITY, TN 376042277
4233021000
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.