Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1063760387
Practice Locations (3)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY NE
ATLANTA, GA 303421606
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY RD NE
ATLANTA, GA 303421606
4048518000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
500 MEDICAL CTR BLVD, SUITE 390
LAWRENCEVILLE, GA 300463354
4703251800
Source: CMS National Downloadable File, September 2026.