Graduated: 1997
NPI: 1477543320
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1700 HOSPITAL S DR
AUSTELL, GA 301068159
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.