Medical school: OHIO MEDICAL UNIVERSITY
Graduated: 1979
NPI: 1346376621
Practice Locations (3)
1810 MULKEY RD, SUITE 205
Austell, GA 301061151
1810 MULKEY RD
AUSTELL, GA 301061150
7709418508
1810 MULKEY RD, SUITE 205
AUSTELL, GA 301061126
Source: CMS National Downloadable File, September 2026.