Medical school: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2024
NPI: 1003784018
Practice Locations (2)
7219 AVENTINE WAY APT, SUITE 104
Chattanooga, TN 374214177
PO BOX, SUITE 2095
CLEVELAND, TN 37320
Source: CMS National Downloadable File, September 2026.