Graduated: 1993
Also: INTERNAL MEDICINE, SLEEP MEDICINE
NPI: 1932178688
Practice Locations (2)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
460 NORTHSIDE CHEROKEE BLVD, SUITE 130
CANTON, GA 301158016
6784932527
GREENWOOD LEFLORE HOSPITAL
1401 RIVER RD
GREENWOOD, MS 389304030
6624592603
Source: CMS National Downloadable File, September 2026.