Graduated: 2017
NPI: 1700316858
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
1175 CASCADE PKWY SW
ATLANTA, GA 303113090
4045054012
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
NOVANT HEALTH MEDICAL GROUP, LLC
1420 E FRANKLIN ST
MONROE, NC 281125160
7042898427
Source: CMS National Downloadable File, September 2026.