Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1998
NPI: 1154471274
Practice Locations (2)
1110 EVERGREEN OAK WAY
DACULA, GA 300193136
2252410362
1585 OLD NORCROSS RD, SUITE 204C
LAWRENCEVILLE, GA 300464043
Source: CMS National Downloadable File, September 2026.