Graduated: 2004
NPI: 1083626493
Practice Locations (5)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
WELLSTAR MEDICAL GROUP LLC
120 GREYSTONE POWER BLVD, SUITE 110
DALLAS, GA 301578297
4702671540
WELLSTREET OF GEORGIA PC
500 NATHAN DEAN BLVD, SUITE 105
DALLAS, GA 301574911
4706246793
WELLSTREET OF GEORGIA PC
5749 WENDY BAGWELL PKWY
HIRAM, GA 301412815
4705234130
WELLSTREET OF GEORGIA PC
2505 DALLAS HWY SW
MARIETTA, GA 300642659
6789566230
Source: CMS National Downloadable File, September 2026.