Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1568437507
Practice Locations (2)
119 CHIMNEY RD
RINCON, GA 313265541
9122955560
PO BOX, SUITE 190
RINCON, GA 313265541
Source: CMS National Downloadable File, September 2026.