Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1124035290
Practice Locations (2)
4310 JOHNS CREEK PKWY
SUWANEE, GA 300246092
6786919987
4310 JOHNS CREEK PKWY, SUITE 100
SUWANEE, GA 300246092
6786919987
Source: CMS National Downloadable File, September 2026.