Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1619679032
Practice Locations (2)
7417 KINGSTON PIKE, SUITE 101
KNOXVILLE, TN 379195624
1885 FM, 2673 UNIT 146
CANYON LAKE, TX 78133
Source: CMS National Downloadable File, September 2026.