Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1497162994
Practice Locations (8)
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
2069 TERON TRCE, SUITE 300
DACULA, GA 300191665
7702373475
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1990 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
6786891100
SPORTS MEDICINE SOUTH OF GWINNETT LLC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
7702373475
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783123294
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
7702373475
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2306 WISTERIA DR
SNELLVILLE, GA 300782658
Source: CMS National Downloadable File, September 2026.