Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2023
NPI: 1417643768
Practice Locations (3)
PO BOX, SUITE 670747
MARIETTA, GA 300660130
5665 NEW NORTHSIDE DR, 320 SUITE 320
Sandy Springs, GA 303285834
5665 NEW NORTHSIDE DR, SUITE 320
SANDY SPRINGS, GA 303285834
Source: CMS National Downloadable File, September 2026.