Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1306930813
Practice Locations (2)
4824 WASHINGTON PIKE
KNOXVILLE, TN 379172156
8656374970
LEGACY HEALTHCARE SERVICES INC
8458 GLEASON DR
KNOXVILLE, TN 379195482
8654749837
Source: CMS National Downloadable File, September 2026.