Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1205821089
Practice Locations (3)
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
1510 VERNON RD
LAGRANGE, GA 302404131
7068453905
WELLSTAR MEDICAL GROUP LLC
1514 VERNON RD
LAGRANGE, GA 302404131
7068807222
Source: CMS National Downloadable File, September 2026.