Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1649533035
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 303421609
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
980 JOHNSON FY RD NE, SUITE 880
ATLANTA, GA 303421609
4042558304
Source: CMS National Downloadable File, September 2026.