Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1689203507
Practice Locations (1)
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 305013861
7705359864
Source: CMS National Downloadable File, September 2026.