Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1978
NPI: 1508824152
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
EAR, NOSE AND THROAT PLASTIC SURGERY CENTER
6130 PRESTLEY MILL RD C
Douglasville, GA 301342288
EAR, NOSE AND THROAT PLASTIC SURGERY CENTER
6130 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 301342288
6788383903
Source: CMS National Downloadable File, September 2026.