Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1629062443
Practice Locations (2)
1430 HARPER ST B
AUGUSTA, GA 309010619
7067245451122
AUGUSTA PRIMARY CARE SERVICES LLC
3647 J DEWEY GRAY CIR, SUITE 200C
AUGUSTA, GA 309092205
7065049712
Source: CMS National Downloadable File, September 2026.