Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
Offers telehealth
NPI: 1730213638
Practice Locations (1)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
6875 DOUGLAS BLVD, SUITE A
DOUGLASVILLE, GA 301357155
4043796148
Source: CMS National Downloadable File, September 2026.