Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1306100979
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
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1505 NORTHSIDE BLVD, SUITE 3600
CUMMING, GA 300418245
7707401860
Source: CMS National Downloadable File, September 2026.