Graduated: 1995
NPI: 1144429663
Practice Locations (3)
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
920 18TH ST
COLUMBUS, GA 319011524
7066496600
ROCKFORD HEALTH PHYSICIANS
8201 E RIVERSIDE BLVD
ROCKFORD, IL 611142300
8159712000
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVE
JANESVILLE, WI 535482940
6087566000
Source: CMS National Downloadable File, September 2026.