Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1447264361
Practice Locations (2)
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
5864 HWY 153, SUITE 112
HIXSON, TN 373435187
8008056989
REVIDA RECOVERY CENTERS PC
3114 BROWNS MILL RD
JOHNSON CITY, TN 376041417
4236310432
Source: CMS National Downloadable File, September 2026.