Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1982790754
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
975 JOHNSON FERRY RD, SUITE 400
ATLANTA, GA 303424736
4048434000
Source: CMS National Downloadable File, September 2026.