Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1760742662
Practice Locations (1)
PATRIOT CENTER FOR HEARING LOSS AND RELATED DISORDERS, LLC
661 E BROADWAY BLVD, SUITE C
JEFFERSON CITY, TN 377602057
8654710466
Source: CMS National Downloadable File, September 2026.