Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1336134477
Practice Locations (3)
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
Source: CMS National Downloadable File, September 2026.