Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1689342750
Practice Locations (3)
1041 RED STONE RD
CHILHOWIE, VA 243195605
2767803873
UNIVERSAL HEALTH CORPORATION
157 ROSS CARTER BLVD
DUFFIELD, VA 242445116
2764312841
PAI PARTICIPANT 1 LLC
1945 ROANOKE BLVD
SALEM, VA 241536408
5403453894
Source: CMS National Downloadable File, September 2026.