Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1225021454
Practice Locations (1)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
410 N STATE OF FRANKLIN RD, SUITE 130A
JOHNSON CITY, TN 376046972
4234312477
Source: CMS National Downloadable File, September 2026.