Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1720297013
Practice Locations (5)
VANDERBILT INTEGRATED PROVIDERS LLC
1400 WILLOW DR
MANCHESTER, TN 373552438
9314092194
VANDERBILT INTEGRATED PROVIDERS LLC
1440 CEDAR LN
TULLAHOMA, TN 373882486
9314611101
VANDERBILT INTEGRATED PROVIDERS LLC
1440 CEDAR LN, SUITE 100
TULLAHOMA, TN 373882486
9314611101
VANDERBILT INTEGRATED PROVIDERS LLC
1801 N JACKSON ST
TULLAHOMA, TN 373888259
9313933000
VANDERBILT INTEGRATED PROVIDERS LLC
VANDERBILT INTEGRATED PROVIDERS URO, 1440 CEDAR LNSTE 300
TULLAHOMA, TN 373882486
9313937056
Source: CMS National Downloadable File, September 2026.