Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1467562959
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
975 JOHNSON FERRY RD, SUITE 400
ATLANTA, GA 303424736
4048434000
Source: CMS National Downloadable File, September 2026.