Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1568471803
Practice Locations (2)
2460 INTERSTATE DR, SUITE A
OPELIKA, AL 368011534
3345210041
5607 WHITESVILLE RD
COLUMBUS, GA 319049032
7062219702
Source: CMS National Downloadable File, September 2026.