Graduated: 1991
NPI: 1598765950
Practice Locations (5)
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
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
7702373475
SPORTS MEDICINE SOUTH OF GWINNETT LLC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
7702373475
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1990 RIVERSIDE PKWY
LAWRENCEVILLE, GA 300435925
6786891100
Source: CMS National Downloadable File, September 2026.