Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2004
NPI: 1558597765
Practice Locations (2)
REVIDA RECOVERY CENTERS PC
2001 HIGHLAND AVE
KNOXVILLE, TN 379161217
8656330353
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
2001 HIGHLAND AVE
KNOXVILLE, TN 379161217
8008056989
Source: CMS National Downloadable File, September 2026.