Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2017
NPI: 1689105314
Practice Locations (2)
DODGE COUNTY HOSPITAL AUTHORITY
901 GRIFFIN AVE
EASTMAN, GA 310236720
4783744000
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
1700 MEDICAL WAY
SNELLVILLE, GA 300782195
7707362283
Source: CMS National Downloadable File, September 2026.