Graduated: 2019
NPI: 1871053116
Practice Locations (4)
PO BOX
LEWISTON, ME 04243
1208 KING ST, SUITE 405
Chattanooga, TN 374034360
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 374022571
200 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 37403
Source: CMS National Downloadable File, September 2026.