Graduated: 2015
NPI: 1104213339
Practice Locations (3)
WELLSTAR MEDICAL GROUP LLC
148 BILL CARRUTH PKWY
HIRAM, GA 301413756
WELLSTAR MEDICAL GROUP LLC
2518 JIMMY LEE SMITH PKWY
HIRAM, GA 301412068
7707324022
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.