Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1996
NPI: 1609099530
Practice Locations (2)
JUMPSTART FITNESS INC
97 COMMERCE DR
BLUE RIDGE, GA 305133677
7066329516
JUMPSTART FITNESS INC
64 WALNUT MOUNTAIN CT, SUITE 4287
ELLIJAY, GA 305362674
Source: CMS National Downloadable File, September 2026.