Graduated: 1998
NPI: 1164554036
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
684 SIXES RD, SUITE 275
HOLLY SPRINGS, GA 301158723
4043791105
Source: CMS National Downloadable File, September 2026.