Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2010
NPI: 1629337241
Practice Locations (1)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
1315 JESSE JEWELL PKWY NE, SUITE 201
GAINESVILLE, GA 305013822
7702198765
Source: CMS National Downloadable File, September 2026.