Graduated: 1986
NPI: 1679821094
Practice Locations (2)
CITY OF HOPE MEDICAL GROUP OF GEORGIA LLC
600 CELEBRATE LIFE PKWY
NEWNAN, GA 302658001
7704006080
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
1900 TEBEAU ST
WAYCROSS, GA 315016357
9122872587
Source: CMS National Downloadable File, September 2026.