Graduated: 2000
NPI: 1083720411
Practice Locations (5)
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
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783123294
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
7702373475
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1990 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
6786891100
Source: CMS National Downloadable File, September 2026.