Graduated: 2015
NPI: 1336694595
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
RESTORED HEALTH INC.
483 INDIAN TRAIL LILBURN RD NW
LILBURN, GA 300473717
7709234433
Source: CMS National Downloadable File, September 2026.