Graduated: 1997
NPI: 1306881362
Practice Locations (2)
RADIANT FAMILY PRACTICE, LLC
223 MEDICAL CTR DR
RIVERDALE, GA 302742640
4044654282
MEDICAL SERVICE ASSOCIATES LLC
1444 OLD WEISGARBER RD
KNOXVILLE, TN 379091293
8655006665
Source: CMS National Downloadable File, September 2026.