Graduated: 2014
NPI: 1295120004
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
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 301158015
7702241000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
631 CAMPBELL HILL ST NW, SUITE 100
MARIETTA, GA 300601390
7704220444
Source: CMS National Downloadable File, September 2026.