Graduated: 2006
NPI: 1962435958
Practice Locations (2)
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RD
BOONE, NC 286075008
8282624133
SPARTANBURG MEDICAL CENTER
101 E WOOD ST
SPARTANBURG, SC 293033040
8645606193
Source: CMS National Downloadable File, September 2026.