Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1980
Also: UNDERSEA AND HYPERBARIC MEDICINE
NPI: 1154379170
Practice Locations (1)
2501 NEWNAN CROSSING BLVD E, SUITE 100
NEWNAN, GA 30265
6786622617
Source: CMS National Downloadable File, September 2026.