Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1990
NPI: 1194820753
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1604 12TH ST
COLUMBUS, GA 319062938
7063240471
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
Source: CMS National Downloadable File, September 2026.