Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
Also: INTERNAL MEDICINE
NPI: 1821047465
Practice Locations (2)
PIEDMONT PROVIDERS LLC
775 POPLAR RD, SUITE 120
NEWNAN, GA 302658300
7704004510
CLAY COUNTY MEDICAL CORPORATION
1205 HWY 182 W, CLAY COUNTY MEDICAL CORPORATION
STARKVILLE, MS 397599820
6623208545
Source: CMS National Downloadable File, September 2026.