Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1225141997
Practice Locations (3)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
128 PARKER AVE N
BROOKLET, GA 304158208
9128422101
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.