Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1922072321
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
5505 PEACHTREE DUNWOODY RD, SUITE 650
ATLANTA, GA 303421755
4044599340
Source: CMS National Downloadable File, September 2026.