Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1154347490
Practice Locations (3)
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
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1326 EISENHOWER DR
SAVANNAH, GA 314063928
Source: CMS National Downloadable File, September 2026.