Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1164448452
Practice Locations (1)
PIEDMONT SPECIALTY HOSPITAL BILLING LLC
5126 HOSPITAL DR NE
COVINGTON, GA 300142566
7707867053
Source: CMS National Downloadable File, September 2026.