Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1710099429
Practice Locations (2)
2060 DAN PROCTOR DR, SUITE 1800
SAINT MARYS, GA 315583810
2060 DAN PROCTOR DR, SUITE 1800
SAINT MARYS, GA 315584324
9125107376
Source: CMS National Downloadable File, September 2026.