Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2009
NPI: 1487895488
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
3620 HOWELL FERRY RD
DULUTH, GA 300963178
6783126800
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3855 PLEASANT HILL RD, SUITE 470
DULUTH, GA 300961417
6783127280
Source: CMS National Downloadable File, September 2026.