Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1124017611
Practice Locations (4)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
WELLSTREET OF GEORGIA PC
7301 BLACKMON RD
COLUMBUS, GA 319094478
7063830910
WELLSTREET OF GEORGIA PC
500 NATHAN DEAN BLVD, SUITE 105
DALLAS, GA 301574911
4706246793
WELLSTREET OF GEORGIA PC
2976 CHAPEL HILL RD
DOUGLASVILLE, GA 301351733
6786956960
Source: CMS National Downloadable File, September 2026.