Graduated: 2018
NPI: 1447801709
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046035
4234316111
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 376046972
4234312350
Source: CMS National Downloadable File, September 2026.