Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1144272568
Practice Locations (1)
LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC
7823 SPIVEY STATION BLVD, SUITE 310
JONESBORO, GA 302362886
7709961122
Source: CMS National Downloadable File, September 2026.