Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1073506168
Practice Locations (3)
HEALTH FIRST PRIVIA MEDICAL GROUP
2257 OAK ST
JACKSONVILLE, FL 322044601
9043889202
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
Melrose, FL 326661099
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
MELROSE, FL 326661099
Source: CMS National Downloadable File, September 2026.