Graduated: 1985
NPI: 1265570840
Practice Locations (2)
MARIETTA EYE CLINIC, PA
8841 HOSPITAL DR
DOUGLASVILLE, GA 301342267
7705772200
MARIETTA EYE CLINIC, PA
895 CANTON RD NE, BLDG 100
MARIETTA, GA 300608935
7704278111
Source: CMS National Downloadable File, September 2026.