Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2007
NPI: 1649471764
Practice Locations (1)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 305013822
7702196520
Source: CMS National Downloadable File, September 2026.