Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1235121658
Practice Locations (2)
124 MEMORIAL DR
JESUP, GA 315450101
9124274413
HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA
865 N 1ST ST
JESUP, GA 315451618
9124276811
Source: CMS National Downloadable File, September 2026.