Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1689745960
Practice Locations (2)
SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC
610 SPARTA RD
SANDERSVILLE, GA 310821860
4782402000
119 GORDON ST
WASHINGTON, GA 306731601
7066784785
Source: CMS National Downloadable File, September 2026.