Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 1998
NPI: 1316028467
Practice Locations (3)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
101 KINGTON LN
CHICKAMAUGA, GA 307071991
7063759400
MEMORIAL HEALTH PARTNERS FOUNDATION INC
611 E VILLANOW ST
LA FAYETTE, GA 307282618
7066381606
MEMORIAL HEALTH PARTNERS FOUNDATION INC
615 E VILLANOW ST
LA FAYETTE, GA 307282618
7066381606
Source: CMS National Downloadable File, September 2026.