Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1992098339
Practice Locations (5)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
875 MAYFIELD RD, BLDG B
ALPHARETTA, GA 300093048
7708861074
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
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
875 MAYFIELD RD, SUITE 100
MILTON, GA 300093048
7708861074
Source: CMS National Downloadable File, September 2026.