Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1013913391
Practice Locations (1)
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
1861 MAIN ST
SNEEDVILLE, TN 378693645
4237332131
Source: CMS National Downloadable File, September 2026.