Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1932196755
Practice Locations (4)
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
Atlanta, GA 303151640
SOUTHSIDE MEDICAL CENTER, INC.
1046 RIDGE AVE SW
ATLANTA, GA 303151640
4046881350
FOUR CORNERS PRIMARY CARE CENTERS, INC.
5300 OAKBROOK PKWY, SUITE 130
NORCROSS, GA 300930002
FOUR CORNERS PRIMARY CARE CENTERS, INC.
5300 OAKBROOK PKWY, SUITE 130
NORCROSS, GA 300932261
7708062928
Source: CMS National Downloadable File, September 2026.