Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 1984
NPI: 1376652388
Practice Locations (5)
WELLSTAR MEDICAL GROUP LLC
1120 15TH ST
AUGUSTA, GA 309120004
7067218623
WELLSTAR MEDICAL GROUP LLC
1719 MAGNOLIA WAY
AUGUSTA, GA 309099482
7067218623
WELLSTAR MEDICAL GROUP LLC
989 SAINT SEBASTIAN WAY
AUGUSTA, GA 309120004
7067212171
WELLSTAR MEDICAL GROUP LLC
3000 MCCRARY CT
EVANS, GA 308096138
7068680011
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.