Graduated: 2019
NPI: 1144881871
Practice Locations (3)
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
3855 PLEASANT HILL RD, SUITE 280
DULUTH, GA 300968093
6783127390
Source: CMS National Downloadable File, September 2026.