Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1104006873
Practice Locations (4)
TUBA CITY REGIONAL HEALTH CARE CORPORATION
167 N MAIN ST, TUBA CITY INDIAN MEDICAL CENTER
TUBA CITY, AZ 860450600
9282832094
WELLSTAR MEDICAL GROUP LLC
8954 HOSPITAL DR
DOUGLASVILLE, GA 301342272
6788382585
WELLSTAR MEDICAL GROUP LLC
2518 JIMMY LEE SMITH PKWY
HIRAM, GA 301412068
7707324022
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.