Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1083602643
Practice Locations (2)
SURGERY SOUTH PC
1040 EAGLES LANDING PKWY, SUITE 100
Stockbridge, GA 302819073
SURGERY SOUTH PC
1040 EAGLE LNDNG PKWY, SUITE 100
STOCKBRIDGE, GA 302819073
7704747287
Source: CMS National Downloadable File, September 2026.