Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1992774376
Practice Locations (3)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
119 W HILL ST
THOMASVILLE, GA 317926618
7703042220
SELECT REHABILITATION, LLC
2600 COMPASS RD
GLENVIEW, IL 600268001
Source: CMS National Downloadable File, September 2026.