Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1265118236
Practice Locations (3)
PO BOX
ATLANTA, GA 30374
1480 WRIGHTSBORO RD, APT 1224
AUGUSTA, GA 309013206
11513 TWICKHAM CT
SUWANEE, GA 300241593
Source: CMS National Downloadable File, September 2026.