Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2006
NPI: 1578682944
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 280
DULUTH, GA 300968093
6783127390
Source: CMS National Downloadable File, September 2026.