Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 1998
NPI: 1407075880
Practice Locations (1)
AQUA DERMATOLOGY OF GEORGIA PC
835 COGBURN AVE NW, SUITE 100
MARIETTA, GA 300601008
7704225557
Source: CMS National Downloadable File, September 2026.