Graduated: 1992
NPI: 1871530634
Practice Locations (5)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3400 OLD MILTON PKWY
ALPHARETTA, GA 300053707
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
960 JOHNSON FERRY RD
ATLANTA, GA 303421601
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
960 JOHNSON FY RD NE, SUITE 130
ATLANTA, GA 303421601
4043002990
Source: CMS National Downloadable File, September 2026.