Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1205218708
Practice Locations (2)
NORTHSIDE HOSPITAL MANAGED CARE DEPT, 905 1000 JOHNSON FERRY RD NE
Atlanta, GA 303421606
1000 JOHNSON FERRY RD
ATLANTA, GA 303421611
Source: CMS National Downloadable File, September 2026.