Graduated: 1998
NPI: 1083821888
Practice Locations (2)
THE EMORY CLINIC INC
1365 CLIFTON RD NE
ATLANTA, GA 303221013
4047787525
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
900 TOWNE LAKE PKWY, SUITE 206
WOODSTOCK, GA 301891603
7708527740
Source: CMS National Downloadable File, September 2026.