Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1376616771
Practice Locations (2)
254 REN MAR DR, SUITE 100
PLEASANT VIEW, TN 371463723
REGENTS MEDICAL CENTER PC
254 REN MAR DR, SUITE 100
PLEASANT VIEW, TN 371463723
6157460203
Source: CMS National Downloadable File, September 2026.