Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2002
Also: FAMILY PRACTICE
NPI: 1902005762
Practice Locations (3)
725 MOUNT OGLETHORPE TRL
JOHNS CREEK, GA 300227105
1825 HWY 34 E, SUITE 1200
NEWNAN, GA 302656416
PO BOX
NEW YORK, NY 10087
Source: CMS National Downloadable File, September 2026.