Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2000
NPI: 1124072475
Practice Locations (2)
PIEDMONT PROVIDERS LLC
820 SEBASTIAN WAY, 4A
AUGUSTA, GA 30901
4046054600
NORTH ATLANTA PROFESSIONAL SERVICES LLC
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 301158015
7702241000
Source: CMS National Downloadable File, September 2026.