Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1609837616
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
2078 TERON TRACE, SUITE 326
DACULA, GA 300191604
195 W PIKE ST, SUITE 207
LAWRENCEVILLE, GA 300464966
6782050838
Source: CMS National Downloadable File, September 2026.