Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1053404822
Practice Locations (3)
504 S MAIN ST
Cornelia, GA 305313966
504 S MAIN ST
CORNELIA, GA 305313966
7067788020
927 PO BOX
CORNELIA, GA 305311015
Source: CMS National Downloadable File, September 2026.