Graduated: 2017
NPI: 1992204275
Practice Locations (2)
GRADY MEMORIAL HOSPITAL CORPORATION
80 JESSE HILL JR DR SE
ATLANTA, GA 303033050
4046168880
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
960 JOHNSON FERRY RD, SUITE 500
ATLANTA, GA 303421630
4042570006
Source: CMS National Downloadable File, September 2026.