Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1972572923
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
418 EH COURT, UNIT 4B
BRUNSWICK, GA 315202199
9122670884
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
Source: CMS National Downloadable File, September 2026.