Graduated: 1998
NPI: 1811056104
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2240 FOUNTAIN DR
SNELLVILLE, GA 300782919
4043791105
Source: CMS National Downloadable File, September 2026.