Medical school: PHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated: 1992
NPI: 1245233584
Practice Locations (2)
AUGUSTA RETINA CONSULTANTS
1715 MAGNOLIA WAY
AUGUSTA, GA 309099482
7064267342
SANFORD MEDICAL CENTER FARGO
1717 UNIVERSITY DR S
FARGO, ND 581034939
7012342000
Source: CMS National Downloadable File, September 2026.