Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2023
NPI: 1942689864
Practice Locations (2)
5665 NEW NORTHSIDE DR, 320 SUITE 320
Atlanta, GA 303285834
5665 NEW NORTHSIDE DR
ATLANTA, GA 303285834
Source: CMS National Downloadable File, September 2026.