Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1988
NPI: 1366428146
Practice Locations (2)
4800 OLDE TOWNE PKWY, SUITE 250
Marietta, GA 300684428
4800 OLDE TOWNE PKWY, SUITE 250
MARIETTA, GA 300684428
Source: CMS National Downloadable File, September 2026.