Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1720276470
Practice Locations (2)
1064 RIVERSIDE DR, SUITE D
CLARKSVILLE, TN 370404792
1064 S RIVERSIDE DR, SUITE D
CLARKSVILLE, TN 370404792
9314363683
Source: CMS National Downloadable File, September 2026.