Graduated: 1998
NPI: 1154317949
Practice Locations (5)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
575 PROFESSIONAL DR, SUITE 400
LAWRENCEVILLE, GA 300463335
7709724871
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
771 OLD NORCROSS RD
LAWRENCEVILLE, GA 300464324
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.