Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
Also: ORAL SURGERY
NPI: 1104819101
Practice Locations (1)
ATLANTA ORAL AND FACIAL SURGERY LLC
1000 JOHNSON FERRY RD, BLDG H
MARIETTA, GA 300685518
7709770364
Source: CMS National Downloadable File, September 2026.