Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
Also: FAMILY PRACTICE
NPI: 1295741460
Practice Locations (2)
SOUTHEAST MEDICAL GROUP, P.C.
1255 FRIENDSHIP RD, SUITE 130
BRASELTON, GA 305175617
7704421911
SOUTHEAST MEDICAL GROUP, P.C.
3824 S HWY 27
LA FAYETTE, GA 307283967
7066399055
Source: CMS National Downloadable File, September 2026.