Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1255520599
Practice Locations (2)
BROADLAWNS MEDICAL CENTER
1801 HICKMAN RD
DES MOINES, IA 503141548
5152822200
LICKING MEMORIAL PROFESSIONAL CORPORATION
15 MESSIMER DR
NEWARK, OH 430551841
2205647970
Source: CMS National Downloadable File, September 2026.