Graduated: 1990
NPI: 1962674424
Practice Locations (3)
SOUTHEASTERN PHYSICIAN SERVICES PC
300 MED TECH PKWY
JOHNSON CITY, TN 376042277
4233021000
SOUTHEASTERN PHYSICIAN SERVICES PC
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046034
4234317111
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.