Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1386637403
Practice Locations (6)
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
2701 N DECATUR RD
DECATUR, GA 300335918
4045015630
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
6325 HOSPITAL PKWY
JOHNS CREEK, GA 300975775
6784747000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1462 MONTREAL RD, SUITE 303
TUCKER, GA 300846924
4045084320
Source: CMS National Downloadable File, September 2026.