Graduated: 2020
NPI: 1083218788
Practice Locations (2)
GRADY MEMORIAL HOSPITAL CORPORATION
80 JESSE HILL JR DR SE
ATLANTA, GA 303033050
4046168880
HEALTH PROVIDERS OF AMERICA LLC
986 ORCHARD WAY
DALTON, GA 307219758
7062595483
Source: CMS National Downloadable File, September 2026.