Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1518923879
Practice Locations (2)
4600 E PONCE DE LEON AVE, SUITE A
CLARKSTON, GA 300211839
8012002872
1686 ROSWELL RD
MARIETTA, GA 300623621
7709339333
Source: CMS National Downloadable File, September 2026.