Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1265405229
Practice Locations (2)
2620 OLD WINDER HWY, SUITE 300
BRASELTON, GA 305176104
6788212401
5610 BETHELVIEW RD, SUITE 500A
CUMMING, GA 300407530
6788215376
Source: CMS National Downloadable File, September 2026.