Graduated: 2010
NPI: 1467770982
Practice Locations (2)
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
1700 MEDICAL WAY
SNELLVILLE, GA 300782195
7707362283
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SAN JUAN REGIONAL HOSPITALIST
FARMINGTON, NM 874015630
5056096463
Source: CMS National Downloadable File, September 2026.