Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/4/2003
2204 Pavilion Dr.
Kingsport, TN 37660
Phone: 423-392-6200
Location Details
- Practitioner spends 100% of time at this location.
Years in Active Clinical Practice
Last Updated 6/11/2001
Years in Active Clinical Practice Inside US/Canada: 15
Medicaid
Last Updated 6/11/2001
Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 6/11/2001
Is a Medicare participating provider
Virginia
Hospital Affiliations
Last Updated 6/11/2001
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 6/11/2001
(Kingsport,TN) Wellmont Holston Valley (Kingsport,TN) Indian Path Medical Center
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