Graduated: 2018
NPI: 1962997007
Practice Locations (2)
AT HOME PRIMARY CARE INC
463 1ST ST NW
CLEVELAND, TN 373111760
4237907662
LEGACY HEALTHCARE SERVICES INC
8458 GLEASON DR
KNOXVILLE, TN 379195482
8654749837
Source: CMS National Downloadable File, September 2026.