Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1376625087
Practice Locations (2)
251 CROFT ST
Carrollton, GA 301173863
251 CROFT ST
CARROLLTON, GA 301173863
7708347117
Source: CMS National Downloadable File, September 2026.