Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1922316405
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3850 WINDERMERE PKWY, SUITE 105
CUMMING, GA 300417002
6784552800
Source: CMS National Downloadable File, September 2026.