Graduated: 1990
NPI: 1336168566
Practice Locations (3)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
1515 RIVER PL, SUITE 200
BRASELTON, GA 305175603
7708486103
2138 SCENIC HWY N, SUITE A
SNELLVILLE, GA 300786106
6785710899
EMANUEL COUNTY HOSPITAL AUTHORITY
117 KITE RD
SWAINSBORO, GA 304013231
4782891341
Source: CMS National Downloadable File, September 2026.