Graduated: 2011
NPI: 1356636385
Practice Locations (2)
GWINNETT PHYSICIAN GROUP, LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783124321
CITY OF HOPE MEDICAL GROUP OF GEORGIA LLC
600 CELEBRATE LIFE PKWY
NEWNAN, GA 302658001
7704006080
Source: CMS National Downloadable File, September 2026.