Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1063448363
Practice Locations (1)
NORTHSIDE URGENT CARE HOLDING LLC
4800 OLDE TOWNE PKWY, SUITE 150A
MARIETTA, GA 300684357
7705091025
Source: CMS National Downloadable File, September 2026.