Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1700890274
Practice Locations (4)
LEGACY HEALTHCARE SERVICES INC
5103 COLD HARBOR DR
TALLAHASSEE, FL 323124148
8502702159
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1518 MILULI AVE
BAINBRIDGE, GA 398194866
2292488500
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
Source: CMS National Downloadable File, September 2026.