Graduated: 2016
NPI: 1487101036
Practice Locations (2)
ULTACARE MEDICAL PLLC
1225 E WEISGARBER RD, SUITE 190
KNOXVILLE, TN 379092696
4232595002
COFFEE COUNTY HOSPITAL GROUP INC
482 INTERSTATE DR, SUITE A
MANCHESTER, TN 373553109
9317284718
Source: CMS National Downloadable File, September 2026.