Graduated: 2021
NPI: 1851968408
Practice Locations (2)
INPHYNET PRIMARY CARE PHYSICIANS SOUTHEAST PC
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 302815085
6786041000
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 302815085
6786041000
Source: CMS National Downloadable File, September 2026.