Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2018
Also: SPORTS MEDICINE
Offers telehealth
NPI: 1295222933
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
4800 OLDE TOWNE PKWY, SUITE 430
MARIETTA, GA 300684424
7705176636
Source: CMS National Downloadable File, September 2026.