Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1972
Offers telehealth
NPI: 1629039813
Practice Locations (2)
6130 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 301342288
7709499675
6130 PRESTLEY MILL RD A
DOUGLASVILLE, GA 301342288
Source: CMS National Downloadable File, September 2026.