Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1990
NPI: 1558367714
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
980 JOHNSON FERRY RD
ATLANTA, GA 303421607
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
Source: CMS National Downloadable File, September 2026.