Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
Also: FAMILY PRACTICE
NPI: 1447420310
Practice Locations (2)
WELLSTREET OF GEORGIA PC
1825 HWY 34 E, SUITE 1200
NEWNAN, GA 302656416
7705022121
PARKVIEW HEALTH SYSTEM INC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
2604256030
Source: CMS National Downloadable File, September 2026.