Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1265475206
Practice Locations (2)
NORTHSIDE URGENT CARE HOLDING LLC
81 NORTHSIDE DAWSON DR, SUITE 100A
DAWSONVILLE, GA 305347166
7062166000
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
81 NORTHSIDE DAWSON DR, SUITE 205
DAWSONVILLE, GA 305347169
7062651335
Source: CMS National Downloadable File, September 2026.