Graduated: 2016
NPI: 1013363068
Practice Locations (2)
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
Atlanta, GA 303151640
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
ATLANTA, GA 303151640
4046881350
Source: CMS National Downloadable File, September 2026.