Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1033102454
Practice Locations (2)
PIEDMONT PROVIDERS LLC
1984 PEACHTREE RD NW, SUITE 300
ATLANTA, GA 303095219
4043673210
PIEDMONT PROVIDERS LLC
745 POPLAR RD
NEWNAN, GA 302651618
7704004720
Source: CMS National Downloadable File, September 2026.