Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1487714309
Practice Locations (2)
CLINCH COUNTY HOSPITAL AUTHORITY
1050 VALDOSTA HWY
HOMERVILLE, GA 316349701
9124875211
CLINCH COUNTY HOSPITAL AUTHORITY
80 HUXFORD ST
HOMERVILLE, GA 316342356
9124702273
Source: CMS National Downloadable File, September 2026.