Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1598761223
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3400 C OLD MILTON PKWY, SUITE 425
ALPHARETTA, GA 300054438
7703438760
Source: CMS National Downloadable File, September 2026.