Graduated: 1972
NPI: 1235115890
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1120 15TH ST
AUGUSTA, GA 309120004
7067218623
SOUTHEAST RETINA CENTER PC
3685 WHEELER RD, SUITE 201
AUGUSTA, GA 309096440
7066500061
Source: CMS National Downloadable File, September 2026.