Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1983
NPI: 1144361411
Practice Locations (1)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
1439 JESSE JEWELL PKWY NE, SUITE 102
GAINESVILLE, GA 305013806
7702199445
Source: CMS National Downloadable File, September 2026.