Graduated: 2016
NPI: 1932633674
Practice Locations (6)
NORTHSIDE HOSPITAL MANAGED CARE DEPT, 905 1000 JOHNSON FERRY RD NE
Atlanta, GA 303421606
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
2645 LAWRENCEVILLE HWY
DECATUR, GA 300332502
PO BOX, SUITE 1459
DECATUR, GA 300311459
7 CLYDE RD
SOMERSET, NJ 088735049
5410 MARYLAND WAY, SUITE 400
BRENTWOOD, TN 370278087
Source: CMS National Downloadable File, September 2026.