Graduated: 1991
NPI: 1003939968
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
PHYSIOTHERAPY ASSOCIATES INC
8509 HOSPITAL DR
DOUGLASVILLE, GA 301342414
7709475440
Source: CMS National Downloadable File, September 2026.