Graduated: 2021
NPI: 1063147650
Practice Locations (2)
GEORGIA UROLOGY, PA
4645 TIMBER RIDGE DR, SUITE 120
DOUGLASVILLE, GA 301357542
7709422478
UROLOGICAL PROFESSIONAL SERVICES, LLC
4645 TIMBER RIDGE DR, SUITE 120
DOUGLASVILLE, GA 301357542
7709422478
Source: CMS National Downloadable File, September 2026.