Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1989
NPI: 1407822745
Practice Locations (7)
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
3620 HOWELL FERRY RD
DULUTH, GA 300963178
6783126800
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3855 PLEASANT HILL RD, SUITE 420
DULUTH, GA 300968030
7704951955
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783123294
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
759 OLD NORCROSS RD
LAWRENCEVILLE, GA 300464317
6784423121
Source: CMS National Downloadable File, September 2026.