Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1144264268
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3850 WINDERMERE PKWY, SUITE 105
CUMMING, GA 300417002
6784552800
Source: CMS National Downloadable File, September 2026.