Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2014
NPI: 1356761241
Practice Locations (2)
COUNTY OF MADISON OFFICE OF AUDITOR
493 MEDICAL PARK DR
MARSHALL, NC 287533901
82864935313231
MEDICAL EDUCATION ASSISTANCE CORPORATION
208 MEDICAL PARK BLVD
BRISTOL, TN 376207343
4239894050
Source: CMS National Downloadable File, September 2026.