Graduated: 2024
NPI: 1245046572
Practice Locations (2)
HERITAGE PHYSICIAN SERVICES LLC
100 FRIST CT
COLUMBUS, GA 319093578
7064942100
PRIVIA MEDICAL GROUP OF GEORGIA LLC
747 S HILL ST
GRIFFIN, GA 302244830
7702285407
Source: CMS National Downloadable File, September 2026.