Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1985
NPI: 1194728048
Practice Locations (2)
3666 HWY 5, SUITE 101
Douglasville, GA 301356940
3666 HWY 5, SUITE 101
DOUGLASVILLE, GA 301352364
7709423668
Source: CMS National Downloadable File, September 2026.