Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2003
NPI: 1972541738
Practice Locations (2)
NORTHEAST GEORGIA VISION CARE LLC
118 VISION DR
CORNELIA, GA 305315737
7067766311
1100 OLD PHILADELPHIA RD
JASPER, GA 301434045
7063019100
Source: CMS National Downloadable File, September 2026.