Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1720163868
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
440 WASHINGTON ST SE
GAINESVILLE, GA 305013619
7705329250
Source: CMS National Downloadable File, September 2026.