Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1962541326
Practice Locations (4)
215 MARSHALL AVE
Rutledge, TN 37861
8048 RUTLEDGE PIKE
RUTLEDGE, TN 378613032
8658285295
PO BOX, SUITE 372
RUTLEDGE, TN 37861
PO BOX, SUITE 372
RUTLEDGE, TN 378610372
Source: CMS National Downloadable File, September 2026.