Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1518171180
Practice Locations (3)
1930 HIGHLAND AVE A
Augusta, GA 309047803
1930 HIGHLAND AVE, SUITE A
AUGUSTA, GA 309047803
7064819105
1930 HIGHLAND AVE A
AUGUSTA, GA 309047803
Source: CMS National Downloadable File, September 2026.