Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1710984935
Practice Locations (2)
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783121000
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
748 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 300463394
7703391500
Source: CMS National Downloadable File, September 2026.