Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1979
NPI: 1528050838
Practice Locations (1)
PROACTIVE PHYSICIANS OF MARIETTA, PC
790 CHURCH ST NE, SUITE 220
MARIETTA, GA 300608902
6787539300
Source: CMS National Downloadable File, September 2026.