Graduated: 2015
NPI: 1992271001
Practice Locations (2)
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
1209 GREENBELT DR
GRIFFIN, GA 302244507
7703585252
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
463 B ERNEST BILES DR
JACKSON, GA 302332229
7707756645
Source: CMS National Downloadable File, September 2026.