Graduated: 1995
NPI: 1881636702
Practice Locations (3)
THEORIA MEDICAL
101 HARTFORD RD
FORT GAINES, GA 398513639
2486601220
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 HARTFORD RD W, SUITE 101
FORT GAINES, GA 398514331
2292102100
COMPLEXCARE MEDICAL GROUP SOUTHEAST H PLLC
4000 VILLAGE VIEW DR
GAINESVILLE, GA 305064331
6784503005
Source: CMS National Downloadable File, September 2026.