Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1730249905
Practice Locations (3)
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
5730 GLENRIDGE DR, SUITE 120
ATLANTA, GA 303285560
4042521194
Source: CMS National Downloadable File, September 2026.