Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1508734120
Practice Locations (2)
PO BOX, SUITE 1054
Abingdon, VA 242121054
PO BOX, SUITE 1054
ABINGDON, VA 24212
Source: CMS National Downloadable File, September 2026.