Graduated: 2005
NPI: 1063684363
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1680 HOSPITAL S DR
AUSTELL, GA 301068110
7704221372
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.