Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1979
Offers telehealth
NPI: 1073514725
Practice Locations (2)
800 KENNESAW AVE NW, SUITE 310
MARIETTA, GA 300607945
7704999392
800 KENNESAW NWAVE, SUITE 310
MARIETTA, GA 300607945
Source: CMS National Downloadable File, September 2026.