Medical school: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2011
NPI: 1275890741
Practice Locations (1)
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
4307 HWY 68 S
ROGERSVILLE, TN 378573155
4239211300
Source: CMS National Downloadable File, September 2026.