Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1255358982
Practice Locations (1)
COVENANT MEDICAL GROUP INC
689 MEDICAL PARK DR, SUITE 101
LENOIR CITY, TN 377725796
8659868121
Source: CMS National Downloadable File, September 2026.