Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1851379259
Practice Locations (4)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
PRIVIA MEDICAL GROUP OF GEORGIA LLC
764 PINE ST
MACON, GA 312012107
4786331721
PRIVIA MEDICAL GROUP OF GEORGIA LLC
777 HEMLOCK ST
MACON, GA 312012102
4786331000
Source: CMS National Downloadable File, September 2026.