Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1922004159
Practice Locations (2)
11541 KINGSTON PIKE, SUITE 101
Knoxville, TN 379343918
11541 KINGSTON PIKE, SUITE A
KNOXVILLE, TN 379343990
8656757522
Source: CMS National Downloadable File, September 2026.