Graduated: 2007
NPI: 1003094137
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
619 S 8TH ST
GRIFFIN, GA 302244260
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.