Graduated: 1984
NPI: 1558368415
Practice Locations (2)
ENT OF GEORGIA, LLC
5673 PEACHTREE DUNWOODY RD, SUITE 150
ATLANTA, GA 303421771
4042974230
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
5673 PEACHTREE DUNWOODY RD, SUITE 150
ATLANTA, GA 303421771
4042974230
Source: CMS National Downloadable File, September 2026.