Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1437185915
Practice Locations (3)
7725 W RENO AVE, SUITE 150
OKLAHOMA CITY, OK 731279712
PO BOX, SUITE 94670
OKLAHOMA CITY, OK 73143
2240 SUTHERLAND AVE, SUITE 103
Knoxville, TN 379192333
Source: CMS National Downloadable File, September 2026.