Medical school: LIFE CHIROPRACTIC COLLEGE - WEST
Graduated: 1999
NPI: 1376724278
Practice Locations (2)
235 E PONCE DE LEON AVE, SUITE 109
Decatur, GA 300303452
235 E PONCE DE LEON AVE, SUITE 109
DECATUR, GA 300303452
4048261425
Source: CMS National Downloadable File, September 2026.