Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1942249206
Practice Locations (3)
107 TENNESSEE ST
BOLIVAR, TN 380081822
6153841740
220 NORTHCREST DR
Springfield, TN 371723962
220 NORTHCREST DR
SPRINGFIELD, TN 371723962
6153842411
Source: CMS National Downloadable File, September 2026.