Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1983
NPI: 1982673851
Practice Locations (4)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
VALLEY HEALTHCARE SYSTEM INC
1600 FORT BENNING RD
Columbus, GA 319032834
VALLEY HEALTHCARE SYSTEM INC
1458 BENNING DR
COLUMBUS, GA 319032200
7069403601
VALLEY HEALTHCARE SYSTEM INC
1600 FORT BENNING RD
COLUMBUS, GA 319032834
7066891331
Source: CMS National Downloadable File, September 2026.