Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1998
Also: PEDIATRIC MEDICINE
NPI: 1508929373
Practice Locations (1)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 376046035
4234314946
Source: CMS National Downloadable File, September 2026.