Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2003
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1609829241
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
105 GAY ST
ERWIN, TN 376501227
4237436141
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
Source: CMS National Downloadable File, September 2026.