Graduated: 2009
NPI: 1700119294
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
55 NURSING HOME RD
CHUCKEY, TN 376415579
4232576761
HOLSTON MEDICAL GROUP PC
105 W STONE DR, SUITE 3A
KINGSPORT, TN 376603256
4233926200
Source: CMS National Downloadable File, September 2026.