Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1740242692
Practice Locations (3)
AUGUSTA ENT PC
340 N BELAIR RD
EVANS, GA 308093000
7068685676
AUGUSTA ENT PC
170 UNIVERSITY PKWY
AIKEN, SC 298016308
7068685676
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254111
Source: CMS National Downloadable File, September 2026.