Graduated: 2025
NPI: 1083576334
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1220 W WHEELER PKWY
AUGUSTA, GA 309096625
7067218623
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.