Graduated: 2018
NPI: 1750841557
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
COGENT HEALTHCARE OF MACON, LLC
777 HEMLOCK ST
MACON, GA 312012102
4786337444
LAKE SPRING PHYSICIAN SERVICES, LLC
1900 ELECTRIC RD
SALEM, VA 241537474
5407764000
Source: CMS National Downloadable File, September 2026.