Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1134133523
Practice Locations (3)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1518 MILULI AVE
BAINBRIDGE, GA 398194866
2292488500
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
Source: CMS National Downloadable File, September 2026.