Graduated: 2004
NPI: 1639309560
Practice Locations (2)
THE EMORY CLINIC INC
1365 CLIFTON RD NE
ATLANTA, GA 303221013
4047787525
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6126726999
Source: CMS National Downloadable File, September 2026.