Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1568448736
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
PRIVIA MEDICAL GROUP TENNESSEE LLC
496 NORTHCREST DR, SUITE 496
SPRINGFIELD, TN 371723972
6153808251
Source: CMS National Downloadable File, September 2026.