Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1942269923
Practice Locations (5)
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
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1100 JOHNSON FERRY RD, SUITE 300
ATLANTA, GA 303421733
4048433478
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1100 JOHNSON FERRY RD, SUITE 410
ATLANTA, GA 303421709
4048470664
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1110 W PEACHTREE ST NW
ATLANTA, GA 303093609
Source: CMS National Downloadable File, September 2026.