Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1154446862
Practice Locations (2)
SOUTHWELL AMBULATORY INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
SOUTHWELL AMBULATORY INC
2922 N OAK ST, SUITE C
VALDOSTA, GA 316021885
2292626810
Source: CMS National Downloadable File, September 2026.