Graduated: 2023
NPI: 1972287167
Practice Locations (2)
MONTGOMERY EMERGENCY GROUP, LLC
1 MEADOWS PKWY
VIDALIA, GA 304748759
9125355429
PEACHTREE IMMEDIATE CARE FP, LLC
1912 MEMORIAL DR
WAYCROSS, GA 315010913
9122837100
Source: CMS National Downloadable File, September 2026.