Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1124088851
Practice Locations (1)
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
748 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 300463394
7703391500
Source: CMS National Downloadable File, September 2026.