Graduated: 2009
NPI: 1699090514
Practice Locations (3)
SOUTHEASTERN PHYSICIAN SERVICES PC
901 WELLNESS WAY
COLUMBIA, KY 427281123
2706514471
T J HEALTH COLUMBIA INC
901 WELLNESS WAY
COLUMBIA, KY 427281123
2703844753
T J HEALTH COLUMBIA INC
542 STEVE DR
RUSSELL SPRINGS, KY 426424601
2708583636
Source: CMS National Downloadable File, September 2026.