Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1134823719
Practice Locations (2)
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405031035
Source: CMS National Downloadable File, September 2026.