Graduated: 1998
NPI: 1225119407
Practice Locations (3)
IRWIN COUNTY HOSPITAL
710 N IRWIN AVE
OCILLA, GA 317745011
22946838003846
640 MAIN ST N
PEARSON, GA 316427549
9124226706
ICH PHYSICIAN GROUP
134 FLEETWOOD AVE E
WILLACOOCHEE, GA 316502730
9125345142
Source: CMS National Downloadable File, September 2026.