Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2000
NPI: 1255433918
Practice Locations (4)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
101 BANKS STA
FAYETTEVILLE, GA 302147507
4043796148
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2400 MOUNT ZION PKWY
JONESBORO, GA 302362500
7706033685
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2470 MOUNT ZION PKWY, BLDG 200
JONESBORO, GA 302362500
7705279031
Source: CMS National Downloadable File, September 2026.