Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1235160789
Practice Locations (2)
601 S CONCORD ST, SUITE 108
Knoxville, TN 379193339
601 S CONCORD ST, SUITE 108
KNOXVILLE, TN 379193339
8659850371
Source: CMS National Downloadable File, September 2026.