Graduated: 2007
NPI: 1730335407
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
1435 BROADMOOR BLVD
BUFORD, GA 305185408
7704807506
Source: CMS National Downloadable File, September 2026.