Graduated: 2022
NPI: 1033837760
Practice Locations (3)
WAYNE SJC MEDICAL GROUP LLC
125 MEMORIAL DR
JESUP, GA 315450124
9124277790
WAYNE SJC MEDICAL GROUP LLC
930 S 1ST ST
JESUP, GA 315450202
9124277790
VIDALIA IMMEDIATE AND PRIMARY CARE LLC
122 ALICE COLEMAN DR
VIDALIA, GA 304748860
9128052273
Source: CMS National Downloadable File, September 2026.