Graduated: 2014
NPI: 1629466792
Practice Locations (3)
PO BOX
ATLANTA, GA 30374
CITY OF CINCINNATI/CINCINNATI HEALTH DEPARTMENT, 3101 BURNET AVENUE ROOM 116
CINCINNATI, OH 452293014
2620 ELM HILL PIKE
NASHVILLE, TN 372143108
Source: CMS National Downloadable File, September 2026.