Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1998
Offers telehealth
NPI: 1700832011
Practice Locations (1)
PONCE PREVENTIVE CARE LLC
315 W PONCE DE LEON AVE, SUITE 110
DECATUR, GA 300302441
4045372521
Source: CMS National Downloadable File, September 2026.