Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1992
NPI: 1831168640
Practice Locations (6)
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
470 NORTHSIDE CHEROKEE BLVD
CANTON, GA 301158029
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
780 CANTON RD NE
MARIETTA, GA 300607289
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1380 UPPER HEMBREE RD
ROSWELL, GA 300761146
6783413764
Source: CMS National Downloadable File, September 2026.