Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1979
NPI: 1770549701
Practice Locations (1)
DERMATOLOGY SPECIALISTS OF GEORGIA LLC
1605 WHITESVILLE ST
LAGRANGE, GA 302405903
8772313376
Source: CMS National Downloadable File, September 2026.