Medical school: UNIVERSITY OF NORTH CAROLINA SCHOOL OF DENTISTRY
Graduated: 1994
NPI: 1992022149
Practice Locations (3)
1325 BRIDGE MILL AVE
CANTON, GA 301147762
1150 PRIMROSE DR
Roswell, GA 300764217
225 N TORRENCE ST
CHARLOTTE, NC 282042549
Source: CMS National Downloadable File, September 2026.