Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1093715708
Practice Locations (2)
PEACHTREE IMMEDIATE CARE FP, LLC
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 301412804
7702228900
PEACHTREE IMMEDIATE CARE FP, LLC
111 COLONIAL WAY
JESUP, GA 315450130
9125889110
Source: CMS National Downloadable File, September 2026.