Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1891708012
Practice Locations (2)
NORTHSIDE MEDICAL PROFESSIONALS, P.C.
1605 NASHVILLE HWY, SUITE 200
COLUMBIA, TN 384012071
9315404210
NORTHSIDE MEDICAL PROFESSIONALS, P.C.
1605 NASHVILLE HWY, SUITE 200
COLUMBIA, TN 384012132
Source: CMS National Downloadable File, September 2026.