Graduated: 1995
NPI: 1801983390
Practice Locations (2)
SOUTHLAND DODGE EMERGENCY MEDICAL SERVICES, LLC
901 GRIFFIN AVE
EASTMAN, GA 310236720
4784484000
MEMORIAL HEALTH CARE SYSTEMS
300 N COLUMBIA AVE
SEWARD, NE 684342299
4026432971
Source: CMS National Downloadable File, September 2026.