Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
Also: INTERNAL MEDICINE
NPI: 1780785428
Practice Locations (1)
ST VINCENT'S AMBULATORY CARE INC
1375 E KING AVE, SUITE B
KINGSLAND, GA 315486831
9128822910
Source: CMS National Downloadable File, September 2026.