Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1993
Also: THORACIC SURGERY
NPI: 1871511071
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
960 JOHNSON FERRY RD, SUITE 100
ATLANTA, GA 303421601
4042529063
Source: CMS National Downloadable File, September 2026.