Graduated: 1983
NPI: 1225766066
Practice Locations (4)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY NE
ATLANTA, GA 303421606
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY RD NE
ATLANTA, GA 303421606
4048518000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3854 PLEASANT HILL RD, SUITE 130
DULUTH, GA 300961407
6783127880
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3855 PLEASANT HILL RD, SUITE 130
DULUTH, GA 300961407
6783127880
Source: CMS National Downloadable File, September 2026.