Graduated: 2014
NPI: 1275934572
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
4300 UNIVERSITY PKWY
EVANS, GA 308093063
7067218623
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.