Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2007
NPI: 1912198979
Practice Locations (2)
AQUA DERMATOLOGY OF GEORGIA PC
835 COGBURN AVE NW, SUITE 100
MARIETTA, GA 300601008
7704225557
AQUA DERMATOLOGY OF GEORGIA PC
18 RIVERBEND DR SW, SUITE 230
ROME, GA 301616019
7068858336
Source: CMS National Downloadable File, September 2026.