Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1053353938
Practice Locations (3)
4402 2ND ST N B
Folkston, GA 315379388
4402 2ND ST N, SUITE B
FOLKSTON, GA 315379388
9124964839
PRIVIA MEDICAL GROUP OF GEORGIA LLC
250 MARTIN LUTHER KING JR BLVD
MACON, GA 312013490
4783014111
Source: CMS National Downloadable File, September 2026.