Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1750426920
Practice Locations (4)
4166 A NEWTON DR
Covington, GA 300142522
4166 NEWTON DR
COVINGTON, GA 300151557
7707860643
4166 NEWTON DR, PO BOX 1557
COVINGTON, GA 300151557
PO BOX, SUITE 1557
COVINGTON, GA 300151557
Source: CMS National Downloadable File, September 2026.