Graduated: 1982
NPI: 1902893290
Practice Locations (5)
213 SW MAIN BLVD
LAKE CITY, FL 320257001
ALLERGY SPECIALTY CARE PA
213 SW MAIN BLVD
LAKE CITY, FL 320257001
3869619809
3334 GREYSTONE WAY
Valdosta, GA 316051096
3308 GREYSTONE WAY
VALDOSTA, GA 316051096
3334 GREYSTONE WAY
VALDOSTA, GA 316051096
2292471667
Source: CMS National Downloadable File, September 2026.