Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1447280045
Practice Locations (2)
1690 STONE VILLAGE LANE NW, SUITE 921
Kennesaw, GA 301527714
1690 STONE VILLAGE LN NW, SUITE 921
KENNESAW, GA 301527714
7705901440
Source: CMS National Downloadable File, September 2026.