Graduated: 2016
NPI: 1497294532
Practice Locations (2)
ENNOBLE HC DMV LLC
2002 SUMMIT BLVD NE, SUITE 300
ATLANTA, GA 303191410
9732411356
UPSON COUNTY HOSPITAL INC
801 W GORDON ST
THOMASTON, GA 302863426
70664781111330
Source: CMS National Downloadable File, September 2026.