Medical school: LINCOLN MEDICAL COLLEGE, ECLECTIC
Graduated: 2009
Offers telehealth
NPI: 1205168895
Practice Locations (2)
PO BOX, SUITE 94670
OKLAHOMA CITY, OK 73143
2240 SUTHERLAND AVE, SUITE 103
Knoxville, TN 379192333
Source: CMS National Downloadable File, September 2026.