Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2003
NPI: 1154479970
Practice Locations (4)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
20 GLENLAKE PKWY
ATLANTA, GA 303283473
7706776043
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3650 STEVE REYNOLDS BLVD
DULUTH, GA 300964506
7709316026
THE SOUTHEAST PERMANENTE MEDICAL GROUP
200 CRESCENT CTR PKWY
TUCKER, GA 300847047
4043650966
Source: CMS National Downloadable File, September 2026.