Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1124021761
Practice Locations (1)
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 305013861
7705369864
Source: CMS National Downloadable File, September 2026.