Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2006
NPI: 1376754200
Practice Locations (2)
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
748 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 300463394
7703391500
Source: CMS National Downloadable File, September 2026.