Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1366490419
Practice Locations (3)
WELLSTAR MEDICAL GROUP LLC
3950 AUSTELL RD
AUSTELL, GA 301061121
7707324022
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
CENTRAL GEORGIA REHABILITATION
3351 NORTHSIDE DR
MACON, GA 312102587
4782016500
Source: CMS National Downloadable File, September 2026.