Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1992865950
Practice Locations (2)
PROFESSIONAL EMERGENCY PHYSICIANS PC
2200 RANDALLIA DR
FORT WAYNE, IN 468054638
2603734000
NASONCARE LLC
2233 NORTHWOODS BLVD
NORTH CHARLESTON, SC 294064007
8437739903
Source: CMS National Downloadable File, September 2026.