Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1922111608
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
THE SOUTHEAST PERMANENTE MEDICAL GROUP
205 NEWNAN CROSSING BYP
NEWNAN, GA 302651063
4043796148
Source: CMS National Downloadable File, September 2026.