Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 1993
NPI: 1316080013
Practice Locations (2)
5236 MCGINNIS FERRY RD
Alpharetta, GA 300053921
5236 MCGINNIS FERRY RD
ALPHARETTA, GA 300053921
6782977575
Source: CMS National Downloadable File, September 2026.