Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1995
NPI: 1790783330
Practice Locations (3)
2306 KNOB CREEK RD, SUITE 100
Johnson City, TN 376042366
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 376042366
509 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 376042579
Source: CMS National Downloadable File, September 2026.