Graduated: 2022
NPI: 1073240206
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
4900 IVEY RD NW
ACWORTH, GA 301014112
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.