Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1225696131
Practice Locations (2)
402 LAKE VISTA DR
Baneberry, TN 378904811
240 W TYRONE RD
OAK RIDGE, TN 378306517
Source: CMS National Downloadable File, September 2026.