Graduated: 2020
NPI: 1669083051
Practice Locations (2)
JACKSON HOSPITAL CORPORATION
1027 HWY 11 N
BEATTYVILLE, KY 413119240
6064640061
JACKSON HOSPITAL CORPORATION
424 JETT DR
JACKSON, KY 413399621
6066666600
Source: CMS National Downloadable File, September 2026.