Graduated: 2019
NPI: 1215546783
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC
3400 CHAPEL HILL RD
DOUGLASVILLE, GA 301351739
7709299033
Source: CMS National Downloadable File, September 2026.