Graduated: 2005
NPI: 1497018907
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
454 LAGRANGE ST
GREENVILLE, GA 302221303
7068807222
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.