Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1981
NPI: 1568573871
Practice Locations (2)
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
1209 GREENBELT DR
GRIFFIN, GA 302244507
7703585252
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
139 HENRY PKWY
MCDONOUGH, GA 302536636
7708987403
Source: CMS National Downloadable File, September 2026.