Graduated: 2020
NPI: 1942886676
Practice Locations (3)
PEACHTREE IMMEDIATE CARE FP, LLC
1220 CAROLINE ST NE, SUITE A 230
ATLANTA, GA 303072749
6787103980
GRADY MEMORIAL HOSPITAL CORPORATION
80 JESSE HILL JR DR SE
ATLANTA, GA 303033050
4046168880
ULTRA HEALTH PROVIDERS II LLC
2000 E W CONNECTOR
AUSTELL, GA 301061194
7313941145
Source: CMS National Downloadable File, September 2026.