Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1790792034
Practice Locations (2)
3951 RIDGE AVE, SUITE B
MACON, GA 312105048
4787571934
3951 RIDGE AVE B
MACON, GA 312105048
Source: CMS National Downloadable File, September 2026.