Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2013
NPI: 1689012205
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
2200 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467767
PHYSIOTHERAPY ASSOCIATES INC
966 A KILLIAN HILL RD SW
LILBURN, GA 300473102
7709234815
Source: CMS National Downloadable File, September 2026.