Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1987
NPI: 1023086238
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
5667 PEACHTREE DUNWOODY RD, SUITE 330
ATLANTA, GA 303421757
4042525669
Source: CMS National Downloadable File, September 2026.