Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1981
NPI: 1598875015
Practice Locations (1)
1 GLENLAKE PKWY NE, SUITE 950
ATLANTA, GA 303283696
7707308222
Source: CMS National Downloadable File, September 2026.