Graduated: 2018
NPI: 1013487065
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
300 MEDICAL DR
LAGRANGE, GA 302404130
7068807222
Source: CMS National Downloadable File, September 2026.