Graduated: 2022
NPI: 1821715996
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046035
4234316111
FAST PACE MEDICAL CLINIC PLLC
756 COSBY HWY
NEWPORT, TN 378213455
4232376546
Source: CMS National Downloadable File, September 2026.