Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1407199474
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
980 JOHNSON FERRY RD, SUITE 620
ATLANTA, GA 303421608
4042552057
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
980 JOHNSON FY RD NE, SUITE 800
ATLANTA, GA 303421608
4042529063
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783123294
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
631 PROFESSIONAL DR, SUITE 470
LAWRENCEVILLE, GA 300463370
4042529063
Source: CMS National Downloadable File, September 2026.