Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1306908249
Practice Locations (4)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3340 PADDOCK PKWY
SUWANEE, GA 300249119
6786796210
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3350 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3380 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
SELECT REHABILITATION, LLC
2600 COMPASS RD
GLENVIEW, IL 600268001
Source: CMS National Downloadable File, September 2026.