Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1043453533
Practice Locations (1)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2470 MOUNT ZION PKWY, BLDG 200
JONESBORO, GA 302362500
7705279031
Source: CMS National Downloadable File, September 2026.