Graduated: 2008
NPI: 1194061150
Practice Locations (4)
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
1230 BAXTER ST
ATHENS, GA 306063712
7063893000
PIEDMONT ATHENS PRIMARY CARE LLC
1270 PRINCE AVE, SUITE 201
ATHENS, GA 306062789
7064757055
ULTRA HEALTH PROVIDERS II LLC
1400 LIVE OAK LN, BLDG 100
ATHENS, GA 306065548
7313941145
ULTRA HEALTH LLC
1400 LIVE OAK LN, BLDG 100
ATHENS, GA 306065548
7313941145
Source: CMS National Downloadable File, September 2026.