Graduated: 2009
NPI: 1629407549
Practice Locations (2)
NATIONAL FAMILY MEDICAL ASSOCIATES OF GEORGIA, LLC
5610 WENDY BAGWELL PKWY
HIRAM, GA 301417837
7709437808
TRIDENT PRIMARY CARE AND WELLNESS CLINIC LLC
875 OLD ROSWELL RD
ROSWELL, GA 300761659
6787317000
Source: CMS National Downloadable File, September 2026.