Graduated: 2019
NPI: 1346801362
Practice Locations (3)
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
631 PROFESSIONAL DR, SUITE 470
LAWRENCEVILLE, GA 300463370
4042529063
Source: CMS National Downloadable File, September 2026.