Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
NPI: 1366440372
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
Source: CMS National Downloadable File, September 2026.