Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1991
NPI: 1992720841
Practice Locations (5)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1110 W PEACHTREE ST NE, SUITE 1010
ATLANTA, GA 303093609
4042529063
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1110 W PEACHTREE ST NW
ATLANTA, GA 303093609
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3340 PADDOCK PKWY
SUWANEE, GA 300249119
6786796210
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3350 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3380 PADDOCKS PKWY
SUWANEE, GA 300249119
6784749633
Source: CMS National Downloadable File, September 2026.