Graduated: 1991
NPI: 1659431872
Practice Locations (2)
WATAUGA ORTHOPAEDICS PLC
2410 SUSANNAH ST
JOHNSON CITY, TN 376011748
4232829011
AGILITAS USA, INC
806 E JACKSON BLVD, SUITE 15
JONESBOROUGH, TN 376591536
4237532805
Source: CMS National Downloadable File, September 2026.