Graduated: 1997
NPI: 1750571956
Practice Locations (2)
DIVERSITY HEALTH CENTER INC
213 N MCDONALD ST
LUDOWICI, GA 313166075
91254593981010
VIDALIA FAMILY CARE LLC
1702 MEADOWS LN
VIDALIA, GA 304747219
9128052198
Source: CMS National Downloadable File, September 2026.