Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1730285198
Practice Locations (2)
9217 PARK W BLVD, SUITE D1
KNOXVILLE, TN 379234420
8656912425
9217 PARKWEST BLVD, SUITE D 1
KNOXVILLE, TN 379234420
Source: CMS National Downloadable File, September 2026.