Graduated: 2016
NPI: 1669914008
Practice Locations (2)
WALKER LAKE EMERGENCY GROUP PC
1412 MILSTEAD AVE NE
CONYERS, GA 300123877
7709183000
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3650 STEVE REYNOLDS BLVD
DULUTH, GA 300964506
7709316026
Source: CMS National Downloadable File, September 2026.