Graduated: 1995
NPI: 1053301879
Practice Locations (3)
GWINNETT CLINIC, LTD
475 PHILIP BLVD, SUITE 200
LAWRENCEVILLE, GA 300468737
6782266201
OUTPATIENT IMAGING, LLC
10 EASTBROOK BEND
PEACHTREE CTY, GA 302691545
7708329873
GEORGIA WEST IMAGING PC
5995 SPRING ST
WARM SPRINGS, GA 318302149
7066553331
Source: CMS National Downloadable File, September 2026.