Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1336163161
Practice Locations (13)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3550 PRESTON RIDGE RD
ALPHARETTA, GA 300053821
7706633395
THE SOUTHEAST PERMANENTE MEDICAL GROUP
20 GLENLAKE PKWY
ATLANTA, GA 303283473
7706776043
THE SOUTHEAST PERMANENTE MEDICAL GROUP
1175 CASCADE PKWY SW
ATLANTA, GA 303113090
4045054012
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2525 CUMBERLAND PKWY SE
ATLANTA, GA 303393915
7704314235
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
6875 DOUGLAS BLVD, SUITE A
DOUGLASVILLE, GA 301357155
4043796148
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3650 STEVE REYNOLDS BLVD
DULUTH, GA 300964506
7709316026
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2470 MOUNT ZION PKWY, BLDG 200
JONESBORO, GA 302362500
7705279031
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2400 MOUNT ZION PKWY
JONESBORO, GA 302362500
7706033685
THE SOUTHEAST PERMANENTE MEDICAL GROUP
750 TOWNPARK LN NW
KENNESAW, GA 301445579
7705145405
THE SOUTHEAST PERMANENTE MEDICAL GROUP
5440 HILLANDALE DR
LITHONIA, GA 300584865
7703223238
THE SOUTHEAST PERMANENTE MEDICAL GROUP
8011 MALL PKWY
LITHONIA, GA 300382543
7705279031
THE SOUTHEAST PERMANENTE MEDICAL GROUP
200 CRESCENT CTR PKWY
TUCKER, GA 300847047
4043650966
Source: CMS National Downloadable File, September 2026.