Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1972014488
Practice Locations (2)
5665 NEW NORTHSIDE DR, SUITE 320
SANDY SPRINGS, GA 303285834
11708 SARATOGA WOODS CT
LOUISVILLE, KY 402994366
Source: CMS National Downloadable File, September 2026.