Medical school: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2019
NPI: 1437799285
Practice Locations (4)
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
1100 JOHNSON FERRY RD, SUITE 410
ATLANTA, GA 303421709
4048470664
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1462 MONTREAL RD, SUITE 303
TUCKER, GA 300846924
4045084320
Source: CMS National Downloadable File, September 2026.