Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1578524930
Practice Locations (2)
LIVING WATER VEIN INSTITUTE, PC
2800 PEOPLES ST, SUITE 80
JOHNSON CITY, TN 376044158
4236310101
LIVING WATER VEIN INSTITUTE, PC
107 COOK ST
ABINGDON, VA 242103203
2762892720
Source: CMS National Downloadable File, September 2026.