Graduated: 2015
NPI: 1154702645
Practice Locations (4)
10 GLENLAKE PKWY, SUITE 900
Atlanta, GA 303287249
10 GLENLAKE PKWY, SUITE 900
ATLANTA, GA 303283421
1100 JOHNSON FERRY RD NE
ATLANTA, GA 303421709
NORTHSIDE HOSPITAL-MANAGED CARE
ATLANTA, GA 303421606
Source: CMS National Downloadable File, September 2026.