Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1619911336
Practice Locations (3)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
PRIVIA MEDICAL GROUP OF GEORGIA LLC
250 MARTIN LUTHER KING JR BLVD
MACON, GA 312013490
4783014111
Source: CMS National Downloadable File, September 2026.