Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1316935000
Practice Locations (3)
COOPERATIVE HEALTHCARE SERVICES INC
2415 PARKWOOD DR
BRUNSWICK, GA 315204722
9124664079
COOPERATIVE HEALTHCARE SERVICES INC
3025 SHRINE RD, SUITE 480
BRUNSWICK, GA 315204787
9124667280
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
Source: CMS National Downloadable File, September 2026.