Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1306875679
Practice Locations (1)
SJHMC PHYSICIAN SERVICES
500 W THOMAS RD, 680 DHMG ST JOSEPH'S PELVIC PAIN AND SURG
PHOENIX, AZ 850134235
6024066017
Source: CMS National Downloadable File, September 2026.