Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1265300651
Practice Locations (2)
1404 LAWRENCEVILLE SUWANEE RD, A101
Lawrenceville, GA 300434331
1404 LAWRENCEVILLE SUWANEE RD, SUITE A101
LAWRENCEVILLE, GA 300434331
Source: CMS National Downloadable File, September 2026.