Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1995
NPI: 1316928500
Practice Locations (2)
PHOEBE PHYSICIAN GROUP INC
417 W 3RD AVE
ALBANY, GA 317011943
2293125133
LIMA MEMORIAL PROFESSIONAL CORPORATION
1001 BELLEFONTAINE AVE
LIMA, OH 458042800
4199984575
Source: CMS National Downloadable File, September 2026.