Graduated: 2022
NPI: 1003584806
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 303421764
4043647285
Source: CMS National Downloadable File, September 2026.