Graduated: 2016
NPI: 1255842878
Practice Locations (2)
EAST TENNESSEE STATE UNIVERSITY
2151 CENTURY LN
JOHNSON CITY, TN 376044469
4239262500
EAST TENNESSEE STATE UNIVERSITY
2700 MAIN ST
SNEEDVILLE, TN 378693041
4237332819
Source: CMS National Downloadable File, September 2026.