Graduated: 1992
NPI: 1700856135
Practice Locations (3)
144 FIVE RIVERS PLAZA WAY
NEWPORT, TN 378218134
4236230601
235 MURRAY DR
NEWPORT, TN 378213631
4236230601
ULTACARE MEDICAL PLLC
606 N BROAD ST
NEW TAZEWELL, TN 378256610
4232595002
Source: CMS National Downloadable File, September 2026.