Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1992
NPI: 1306878251
Practice Locations (4)
39 KENT RD, SUITE 1
Tifton, GA 317941649
39 KENT RD, SUITE 1
TIFTON, GA 317941649
39 KENT RD, SUITE 1
TIFTON, GA 317941697
2293913555
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
Source: CMS National Downloadable File, September 2026.