Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1609865021
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2400 MOUNT ZION PKWY
JONESBORO, GA 302362500
7706033685
MATRIX REHABILITATION-GEORGIA INC
9050 PERIDOT PKWY
STOCKBRIDGE, GA 302819417
7704740540
MATRIX REHABILITATION-GEORGIA INC
9050 PERIDOT PKWY, SUITE E
STOCKBRIDGE, GA 302819417
7704740540
Source: CMS National Downloadable File, September 2026.