Graduated: 2019
NPI: 1427682012
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
1400 NORTHSIDE FORSYTH DR, SUITE 290
CUMMING, GA 300417668
7702923000
Source: CMS National Downloadable File, September 2026.