Medical school: ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1427554021
Practice Locations (2)
QCPI-VILLAGEMD PC
1805 PARKE PLAZA CIR, SUITE 101
STONE MOUNTAIN, GA 300873646
7708790436
QCPI-VILLAGEMD PC
5435 FIVE FORKS TRICKUM RD
STONE MOUNTAIN, GA 300873045
7703699954
Source: CMS National Downloadable File, September 2026.