Graduated: 2023
NPI: 1093570483
Practice Locations (4)
5901 W CENTURY BLVD, SUITE 750
LOS ANGELES, CA 900455443
12600 DEERFIELD PKWY, SUITE 100
ALPHARETTA, GA 300046227
3510 STONEHAM DR
Duluth, GA 300975149
2004 HAYES ST, SUITE 800
NASHVILLE, TN 372032659
Source: CMS National Downloadable File, September 2026.