Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1995
NPI: 1760429948
Practice Locations (2)
NORTH ATLANTA PROFESSIONAL SERVICES LLC
3620 HOWELL FERRY RD
DULUTH, GA 300963178
7702557500
NORTHEAST GEORGIA PHYSICIANS GROUP INC
743 SPRING NEST
GAINESVILLE, GA 305013715
7702196000
Source: CMS National Downloadable File, September 2026.