Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1962602516
Practice Locations (1)
THEDACARE, INCORPORATED
1818 N MEADE ST, SUITE 130
APPLETON, WI 549113454
9208311841
Source: CMS National Downloadable File, September 2026.