Graduated: 2025
NPI: 1104706449
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
1810 WHITE CIR, SUITE 105
MARIETTA, GA 300665836
6787976820
Source: CMS National Downloadable File, September 2026.