Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2013
Also: GYNECOLOGICAL ONCOLOGY
NPI: 1164859955
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
980 JOHNSON FERRY RD, SUITE 900
ATLANTA, GA 303424768
4043033750
Source: CMS National Downloadable File, September 2026.