Graduated: 1998
NPI: 1265651541
Practice Locations (2)
GWINNETT PHYSICIAN GROUP, LLC
2069 TERON TRCE, SUITE 100
DACULA, GA 300191665
6787301620
GWINNETT PHYSICIAN GROUP, LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783124321
Source: CMS National Downloadable File, September 2026.