Graduated: 1981
NPI: 1083792873
Practice Locations (2)
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
710 CTR ST
COLUMBUS, GA 319011527
7065711454
TETON COUNTY HOSPITAL DISTRICT
555 E BROADWAY AVE, SUITE 229
JACKSON, WY 830018640
3077397690
Source: CMS National Downloadable File, September 2026.