Graduated: 2015
NPI: 1740642156
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
750 TOWNPARK LN NW
KENNESAW, GA 301445579
7705145405
PHYSIOTHERAPY ASSOCIATES INC
4579 S COBB DR SE, SUITE 100
SMYRNA, GA 300806389
7704363665
Source: CMS National Downloadable File, September 2026.