Med/Peds

Education

Medical School: Jefferson Medical College (34486)

Residency: 1990-1994 Indiana University Hospitals, Med/Peds

Board Certification & Credentials

Degree: Doctor of Medicine

Specialty: Med/Peds

Licensing

NPI Number: 1376543082

Primary License: Georgia (GA) - 38834

DPC Experience

Started DPC: 2/5/2013

Data aggregated from publicly available sources including NPPES Registry, practice websites, and professional directories.