Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1891880209
Practice Locations (2)
SDG PRIMARY AND IMMEDIATE CARE LLC
201 S FRONT ST
HALLS, TN 380401547
7318365617
HUMBOLDT FAMILY WALK-IN CLINIC LLC
2500 N CENTERAL AVE, SUITE D
HUMBOLDT, TN 383431756
7314704020
Source: CMS National Downloadable File, September 2026.