Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1973
NPI: 1982700746
Practice Locations (3)
4063 SALISBURY RD
JACKSONVILLE, FL 322166199
4063 SALISBURY RD, SUITE 202
JACKSONVILLE, FL 322168020
9042810460
4063 SALISBURY RD N, SUITE 205
JACKSONVILLE, FL 322166199
Source: CMS National Downloadable File, September 2026.