Graduated: 2022
NPI: 1871293613
Practice Locations (2)
WATAUGA ORTHOPAEDICS PLC
2410 SUSANNAH ST
JOHNSON CITY, TN 376011748
4232829011
DOMINION HEALTH AND FITNESS, INC
4862 DICKENSON HWY, PO BOX 1810
CLINTWOOD, VA 242281810
Source: CMS National Downloadable File, September 2026.