Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1043217532
Practice Locations (2)
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
725 CRUM ST
GREENEVILLE, TN 377436118
4236398131
NV PACS 2 LLC
725 CRUM ST
GREENEVILLE, TN 377436118
4236398131
Source: CMS National Downloadable File, September 2026.