Graduated: 2018
NPI: 1750861217
Practice Locations (2)
GRADY MEMORIAL HOSPITAL CORPORATION
2805 METROPOLITAN PKWY SW
ATLANTA, GA 303157915
4046161000
PEACHTREE IMMEDIATE CARE FP, LLC
3991 HWY 78 W
SNELLVILLE, GA 300393929
6787868677
Source: CMS National Downloadable File, September 2026.