Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1487642278
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
1800 NORTHSIDE FORSYTH DR, SUITE 350
CUMMING, GA 300418483
7708863555
Source: CMS National Downloadable File, September 2026.