Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1023076981
Practice Locations (1)
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
1500 E SHOTWELL ST
BAINBRIDGE, GA 398194256
2292463500
Source: CMS National Downloadable File, September 2026.