Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1194718718
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
Source: CMS National Downloadable File, September 2026.