Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1780646083
Practice Locations (1)
REAGAN MEDICAL CENTER LLC
2878 FIVE FORKS TRICKUM RD, SUITE 2A
LAWRENCEVILLE, GA 300445896
6783448700
Source: CMS National Downloadable File, September 2026.