He grew up in Augusta and, after completing his undergraduate work at Vanderbilt University, Dr. Howington returned home to attend the Medical College of Georgia. After graduating from medical school, he completed an internship in general surgery at Lenox Hill Hospital in New York. Dr. Howington gained his neurosurgical clinical experience at Charity Hospital, Children’s Hospital, as well as the Ochsner Clinic as part of his neurosurgical residency at Louisiana State University in New Orleans. While at the Ochsner Clinic, he spent an elective year focusing on vascular and endovascular neurosurgery. After serving as Chief Resident at Charity Hospital, Dr. Howington moved to Buffalo, New York for a two-year fellowship in endovascular neurosurgery under Dr. Nick Hopkins. He moved to Savannah in 2004 and now calls it his home.