Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1083622575
Practice Locations (2)
COFFEE COUNTY HOSPITAL GROUP INC
482 INTERSTATE DR, SUITE A
MANCHESTER, TN 373553109
9317284718
ABODE CARE PARTNERS LTC VB LLC
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 376831042
4237277800
Source: CMS National Downloadable File, September 2026.