Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1376771329
Practice Locations (2)
1425 ELLSWORTH INDUSTRIAL BLVD NW
ATLANTA, GA 303184154
4045121590
1425 ELLSWORTH INDUSTRIAL BLVD NW, SUITE 36
ATLANTA, GA 303184154
4045121590
Source: CMS National Downloadable File, September 2026.