Medical school: MAYO MEDICAL SCHOOL
Graduated: 1985
NPI: 1801893490
Practice Locations (3)
13375 AVENSONG XING
ALPHARETTA, GA 300047444
4120 N VALDOSTA RD, SUITE A
VALDOSTA, GA 316024973
13616 CALIFORNIA ST, SUITE 300
OMAHA, NE 681545335
Source: CMS National Downloadable File, September 2026.