Medical school: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated: 2002
NPI: 1215968979
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
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 303421764
4043647285
THE SOUTHEAST PERMANENTE MEDICAL GROUP
750 TOWNPARK LN NW
KENNESAW, GA 301445579
7705145405
Source: CMS National Downloadable File, September 2026.