Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1952370587
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
435 2ND ST
NEWPORT, TN 378213703
4236252200
SOUTHEASTERN PHYSICIAN SERVICES PC
1201 BISHOP ST
UNION CITY, TN 382615403
7318852410
Source: CMS National Downloadable File, September 2026.