Medical school: UNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
Graduated: 1987
Also: ORAL SURGERY
NPI: 1922081355
Practice Locations (2)
CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
7011 EVANS TOWN CTR BLVD
EVANS, GA 308094315
7067248735
CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
101 NUT GROVE DR
NORTH AUGUSTA, SC 298412850
8032782050
Source: CMS National Downloadable File, September 2026.