Graduated: 2011
NPI: 1669762852
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3640 TRAMORE POINTE PKWY
AUSTELL, GA 301066825
4043791105
Source: CMS National Downloadable File, September 2026.