Graduated: 1983
NPI: 1003855396
Practice Locations (4)
1905 WINDHAM PARK NE
ATLANTA, GA 303244960
243 JUSTIN DR
DALLAS, GA 301577607
106 GOVERNORS SQ
PEACHTREE CITY, GA 302694870
7704612225
3406 WATERS EDGE TRAIL
ROSWELL, GA 300758231
Source: CMS National Downloadable File, September 2026.