Medical school: TOLEDO MEDICAL COLLEGE
Graduated: 2016
NPI: 1861998197
Practice Locations (8)
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
1110 W PEACHTREE ST NW
ATLANTA, GA 303093609
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2000 HOWARD FARM DR, SUITE 305
CUMMING, GA 300416075
4048474180
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
4800 OLDE TOWNE PKWY
MARIETTA, GA 300684424
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
900 TOWNE LAKE PKEY, SUITE 404
WOODSTOCK, GA 301891604
7709269229
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
900 TOWNE LAKE PKWY
WOODSTOCK, GA 301891604
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
960 WOODSTOCK PKWY, SUITE 200
WOODSTOCK, GA 301884867
7705176636
Source: CMS National Downloadable File, September 2026.