Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1780662189
Practice Locations (2)
137 W 2ND ST
Cookeville, TN 385012430
137 W 2ND ST
COOKEVILLE, TN 385012430
9315204887
Source: CMS National Downloadable File, September 2026.