Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1972
NPI: 1720075625
Practice Locations (2)
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
Atlanta, GA 303151640
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
ATLANTA, GA 303151640
4046881350
Source: CMS National Downloadable File, September 2026.