Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1225562739
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
470 NORTHSIDE CHEROKEE BLVD, SUITE 375
CANTON, GA 301158029
7702774277
Source: CMS National Downloadable File, September 2026.