Graduated: 1990
NPI: 1467590877
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
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.