Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1194700625
Practice Locations (2)
HEELEX 2 LLC
12329 W BOLA DR
SURPRISE, AZ 853789019
6232707441
JSPHYMGMT PC
6450 KINGSTON PIKE
KNOXVILLE, TN 379194833
8659995988
Source: CMS National Downloadable File, September 2026.