Graduated: 2019
NPI: 1902465461
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
10820 PARKSIDE DR
KNOXVILLE, TN 379341956
8652187011
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.