Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1851359038
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
DIMA CARE, INC
415 POTTERY FACTORY DR
COMMERCE, GA 305296682
7063360074
Source: CMS National Downloadable File, September 2026.