Graduated: 2019
NPI: 1770131104
Practice Locations (2)
RESURGENS, LLC
1336 HWY 54 W
FAYETTEVILLE, GA 302144535
7704611238
ROME ORTHOPAEDIC CENTER PC
100 THREE RIVERS DR NE, SUITE A
ROME, GA 301614999
7062920040
Source: CMS National Downloadable File, September 2026.