Graduated: 2000
NPI: 1215101514
Practice Locations (3)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
743 SPRING NEST
GAINESVILLE, GA 305013715
7702196000
MEDSTAR MEDICAL GROUP II LLC
29955 THREE NOTCH RD, 100 MMG AT CHARLOTTE HALL
CHARLOTTE HALL, MD 206223159
3012905300
MEDSTAR MEDICAL GROUP II LLC
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 206502015
2404344088
Source: CMS National Downloadable File, September 2026.