Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1598415358
Practice Locations (3)
1401 SPRUCE ST, APT 1406
PHILADELPHIA, PA 191024503
1401 SPRUCE ST, APT 1406
PHILADELPHIA, PA 191024636
833 CHESTNUT ST
PHILADELPHIA, PA 191074499
Source: CMS National Downloadable File, September 2026.