Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1972710465
Practice Locations (1)
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 305013861
7705369864
Source: CMS National Downloadable File, September 2026.