Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1912467473
Practice Locations (3)
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
Source: CMS National Downloadable File, September 2026.