Graduated: 2013
NPI: 1639715782
Practice Locations (3)
100 SONOMA WOOD TRL
COVINGTON, GA 300165997
4101 DUNWOODY CLUB DR UNIT, SUITE 10
Dunwoody, GA 303505200
4101 DUNWOODY CLUB DR, UNIT 10
DUNWOODY, GA 303505200
Source: CMS National Downloadable File, September 2026.