Graduated: 2022
NPI: 1194392738
Practice Locations (3)
8735 DUNWOODY PL
ATLANTA, GA 303502995
1618 CHANCERY LN
LITHIA SPRINGS, GA 301223823
6505 216TH ST SW, SUITE 100
MOUNTLAKE TERRACE, WA 980432089
Source: CMS National Downloadable File, September 2026.