Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
NPI: 1619068947
Practice Locations (3)
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
THE SOUTHEAST PERMANENTE MEDICAL GROUP
750 TOWNPARK LN NW
KENNESAW, GA 301445579
7705145405
Source: CMS National Downloadable File, September 2026.