Graduated: 1986
NPI: 1851482020
Practice Locations (3)
2032 WYNNTON RD, SUITE D
COLUMBUS, GA 319062483
2032 WYNNTON RD D
COLUMBUS, GA 319062483
7066412728
2045 CENTRE STONE CT B
COLUMBUS, GA 319044561
7063228730
Source: CMS National Downloadable File, September 2026.