Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2006
NPI: 1720269616
Practice Locations (2)
COFFEE MEDICAL GROUP LLC
481 INTERSTATE DR
MANCHESTER, TN 373553108
9317286354
COFFEE COUNTY HOSPITAL GROUP INC
482 INTERSTATE DR, SUITE A
MANCHESTER, TN 373553109
9317284718
Source: CMS National Downloadable File, September 2026.