Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1841624889
Practice Locations (1)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
1439 JESSE JEWELL PKWY NE, SUITE 301
GAINESVILLE, GA 305013806
7702190023
Source: CMS National Downloadable File, September 2026.