Graduated: 2017
NPI: 1982196507
Practice Locations (2)
COMMUNITY PRIMARY CARE OF GEORGIA LLC
1005 BOULDER DR
GRAY, GA 310326141
4786212100
MONTGOMERY EMERGENCY GROUP, LLC
1 MEADOWS PKWY
VIDALIA, GA 304748759
9125355429
Source: CMS National Downloadable File, September 2026.