Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1235213158
Practice Locations (2)
SOUTHERN MEDICAL GROUP
501 E LONG ST
CLAXTON, GA 304171435
9127393354
SOUTHERN MEDICAL GROUP
601 S VETERANS BLVD
GLENNVILLE, GA 304271775
9127393354
Source: CMS National Downloadable File, September 2026.