Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1902990427
Practice Locations (2)
11770 HAYNES BRIDGE RD, SUITE 205 530
ALPHARETTA, GA 300091966
3242 AVALON BLVD
CONYERS, GA 300136320
Source: CMS National Downloadable File, September 2026.