Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1922187871
Practice Locations (4)
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
EAR, NOSE AND THROAT PLASTIC SURGERY CENTER
6130 PRESTLEY MILL RD C
Douglasville, GA 301342288
EAR, NOSE AND THROAT PLASTIC SURGERY CENTER
6130 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 301342288
6788383903
Source: CMS National Downloadable File, September 2026.