Medical school: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2025
NPI: 1720915135
Practice Locations (2)
2652 S MAIN ST NW, APT 1333
KENNESAW, GA 301443581
5665 NEW NORTHSIDE DR, SUITE 320
SANDY SPRINGS, GA 303285834
Source: CMS National Downloadable File, September 2026.