Graduated: 2021
NPI: 1174232359
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
106 OLD MILL RD, SUITE 100
LAGRANGE, GA 302416704
7068038500
Source: CMS National Downloadable File, September 2026.