Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1760712889
Practice Locations (5)
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
3620 HOWELL FERRY RD
DULUTH, GA 300963178
6783126800
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2200 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467767
Source: CMS National Downloadable File, September 2026.