Graduated: 1993
NPI: 1003138066
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
148 BILL CARRUTH PKWY
HIRAM, GA 301413756
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.