Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2007
NPI: 1801063789
Practice Locations (4)
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
5505 PEACHTREE DUNWOODY RD, SUITE 150
ATLANTA, GA 303421715
4048470893
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
5505 PEACHTREE DUNWOODY RD, SUITE 500
SANDY SPRINGS, GA 303421754
4704549970
Source: CMS National Downloadable File, September 2026.