Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2006
NPI: 1790988103
Practice Locations (2)
GEORGIA EMERGENCY DEPARTMENT SERVICES, P.C.
743 SPRING NEST
GAINESVILLE, GA 305013715
7705033000
MISSISSIPPI EMERGENCY DEPARTMENT SERVICES PC
2809 DENNY AVE
PASCAGOULA, MS 395815301
2288095000
Source: CMS National Downloadable File, September 2026.