Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1508857038
Practice Locations (2)
1240 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 319042954
7063238127249
1240 BROOKSTONE CTR PKWY
COLUMBUS, GA 319042988
7063238127
Source: CMS National Downloadable File, September 2026.