Graduated: 2017
NPI: 1205353422
Practice Locations (2)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
GWINNETT PHYSICIAN GROUP, LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783124321
Source: CMS National Downloadable File, September 2026.