Graduated: 1996
NPI: 1851592265
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3550 PRESTON RIDGE RD
ALPHARETTA, GA 300053821
7706633395
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
Source: CMS National Downloadable File, September 2026.