Graduated: 1998
NPI: 1093872558
Practice Locations (4)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1400 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 300416017
7708863842
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3340 PADDOCK PKWY
SUWANEE, GA 300249119
6786796210
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3350 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3380 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
Source: CMS National Downloadable File, September 2026.