Graduated: 2016
NPI: 1235687906
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
1125 TOWN CTR VILLAGE DR
MCDONOUGH, GA 302535970
6785836610
Source: CMS National Downloadable File, September 2026.