Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1780604389
Practice Locations (3)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
1125 TOWN CTR VILLAGE DR
MCDONOUGH, GA 302535970
6785836610
MATRIX REHABILITATION-GEORGIA INC
234 JONESBORO RD
MCDONOUGH, GA 302533720
7709549631
Source: CMS National Downloadable File, September 2026.