Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1285248591
Practice Locations (1)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
408 N STATE OF FRANKLIN RD, SUITE 12
JOHNSON CITY, TN 376046048
4234312650
Source: CMS National Downloadable File, September 2026.