Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1990
Offers telehealth
NPI: 1548251705
Practice Locations (1)
VANDERBILT INTEGRATED PROVIDERS LLC
1616 W MAIN ST, SUITE 102
LEBANON, TN 370873191
6154537454
Source: CMS National Downloadable File, September 2026.