Graduated: 2020
NPI: 1538751854
Practice Locations (2)
ULTRA HEALTH LLC
4128 OLD JACKSON RD
BELLS, TN 380064261
7313941145
CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
710 CARL PERKINS PKWY
TIPTONVILLE, TN 380791678
7312536692
Source: CMS National Downloadable File, September 2026.