Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1104846625
Practice Locations (2)
107 JACKSON AVE A
Thomaston, GA 302863481
107 JACKSON AVE, SUITE A
THOMASTON, GA 302863481
7066478101
Source: CMS National Downloadable File, September 2026.