Graduated: 1999
NPI: 1598717639
Practice Locations (2)
SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC
462 E G MILES PKWY
HINESVILLE, GA 313134000
9123699400
RIVERVIEW HOSPITAL
9690 E 116TH ST, RIVERVIEW HEALTH FREESTANDING EMERGENCY URG
FISHERS, IN 460372838
3177730760
Source: CMS National Downloadable File, September 2026.