Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1174605372
Practice Locations (2)
7170 HWY 278 NE, SUITE B
COVINGTON, GA 300141529
7707876200
7170 HWY 278 NE B
COVINGTON, GA 300141529
Source: CMS National Downloadable File, September 2026.