Medical school: MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduated: 2016
NPI: 1033567219
Practice Locations (1)
GWINNETT PHYSICIAN GROUP, LLC
1942 ATKINSON RD, SUITE 100
LAWRENCEVILLE, GA 300435004
6787750600
Source: CMS National Downloadable File, September 2026.