Graduated: 1994
NPI: 1134445513
Practice Locations (2)
WELLSTREET OF GEORGIA PC
10945 STATE BRIDGE RD, SUITE 501
ALPHARETTA, GA 300228163
4049960194
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
Source: CMS National Downloadable File, September 2026.