Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1093753998
Practice Locations (2)
EAST TENNESSEE STATE UNIVERSITY
202 W FAIRVIEW AVE
JOHNSON CITY, TN 376045611
4234397371
MEDICAL EDUCATION ASSISTANCE CORPORATION
917 W WALNUT ST
JOHNSON CITY, TN 376046527
4234396464
Source: CMS National Downloadable File, September 2026.