Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1457319568
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
20 GLENLAKE PKWY
ATLANTA, GA 303283473
7706776043
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
Source: CMS National Downloadable File, September 2026.