Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1154330249
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
5670 PEACHTREE-DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 303424791
4042559100
Source: CMS National Downloadable File, September 2026.