Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1073514063
Practice Locations (2)
5669 PEACHTREE DUNWOODY RD, SUITE 275
ATLANTA, GA 303425005
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
Source: CMS National Downloadable File, September 2026.