Graduated: 2000
NPI: 1083866743
Practice Locations (2)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
WELLSTREET OF GEORGIA PC
7990 WELLS ST, SUITE 120
SENOIA, GA 302762024
6785350220
Source: CMS National Downloadable File, September 2026.