Graduated: 1994
NPI: 1922071448
Practice Locations (5)
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
WELLMONT MEDICAL ASSOCIATES INC
1990 HOLTON AVE E
BIG STONE GAP, VA 242193350
2765233111
WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC
100 15TH ST NW
NORTON, VA 242731616
2764391000
CHESTNUT PHYSICIAN SERVICES LLC
100 15TH ST NW
NORTON, VA 242731616
2766799600
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
100 15TH ST NW
NORTON, VA 242731616
2766799002
Source: CMS National Downloadable File, September 2026.