Graduated: 2017
NPI: 1245762822
Practice Locations (2)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1000 JOHNSON FERRY RD
ATLANTA, GA 303421606
4048518000
CEP AMERICA LLC
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 300584996
5108517493
Source: CMS National Downloadable File, September 2026.