Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1983
NPI: 1689661787
Practice Locations (9)
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
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 301158015
7702241000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2000 HOWARD FARM DR, SUITE 305
CUMMING, GA 300416075
4048474180
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
LABORATORY FITNESS LLC
401 DIVIDEND DR
PEACHTREE CITY, GA 302691939
6785061236
LABORATORY FITNESS LLC
401 DIVIDEND DR, SUITE K
PEACHTREE CITY, GA 302691939
6785061236
ESOP REHABILITATION LLC
1699 HWY 124 N
SNELLVILLE, GA 300787921
6782186702
ESOP REHABILITATION LLC
1699 HWY 124 N, SUITE 100
SNELLVILLE, GA 300787921
6782186702
Source: CMS National Downloadable File, September 2026.