Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1730116161
Practice Locations (3)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3400 OLD MILTON PKWY, SUITE A240
ALPHARETTA, GA 300053708
7706674465
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
Source: CMS National Downloadable File, September 2026.