Graduated: 1987
NPI: 1437112497
Practice Locations (4)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1 DOCTORS PARK
CAIRO, GA 398283072
2293788110
QUAIL RIDGE FAMILY PRACTICE, LLC
1 DOCTORS PARK
CAIRO, GA 398283072
2293788110
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
SELECT REHABILITATION, LLC
2600 COMPASS RD
GLENVIEW, IL 600268001
Source: CMS National Downloadable File, September 2026.