Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1996
NPI: 1598860892
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
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2000 HOWARD FARM DR, SUITE 340
CUMMING, GA 300416083
7706674410
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
81 NORTHSIDE DAWSON DR
DAWSONVILLE, GA 305347164
Source: CMS National Downloadable File, September 2026.