Graduated: 2008
NPI: 1992006506
Practice Locations (5)
NORTHSIDE HOSPITAL MANAGED CARE DEPT, 905 1000 JOHNSON FERRY RD NE
Atlanta, GA 303421606
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
1001 SUMMIT BLVD, SUITE 1000
BROOKHAVEN, GA 303196408
101 W PONCE DE LEON AVE, ANNEX
Decatur, GA 300302542
805 SANDY PLAINS RD
MARIETTA, GA 300666340
Source: CMS National Downloadable File, September 2026.