Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2002
NPI: 1144257304
Practice Locations (3)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
WELLSTREET OF GEORGIA PC
35 ARBOR SPRINGS TER
NEWNAN, GA 302654214
4703235200
WELLSTREET OF GEORGIA PC
7990 WELLS ST, SUITE 120
SENOIA, GA 302762024
6785350220
Source: CMS National Downloadable File, September 2026.