Graduated: 2022
NPI: 1366182883
Practice Locations (3)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
PIEDMONT MEDICAL CARE CORPORATION
572 HANK AARON DR SE, SUITE 3200
ATLANTA, GA 303122896
6786313722
WELLSTREET OF GEORGIA PC
5585 THOMASTON RD, A600
MACON, GA 312208200
4783544200
Source: CMS National Downloadable File, September 2026.