Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated: 2020
NPI: 1447870951
Practice Locations (2)
NORTHSIDE HOSPITAL MANAGED CARE DEPT, 905 1000 JOHNSON FERRY RD NE
Atlanta, GA 303421606
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Source: CMS National Downloadable File, September 2026.