Graduated: 2022
NPI: 1619670015
Practice Locations (5)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
960 JOHNSON FERRY RD, SUITE 500
ATLANTA, GA 303421630
4042570006
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
625 CHURCH NEST
MARIETTA, GA 300601101
7704222004
WELLSTAR MEDICAL GROUP LLC
677 CHURCH NEST
MARIETTA, GA 300601101
WELLSTAR MEDICAL GROUP LLC
677 CHURCH ST NE, SUITE 100P
MARIETTA, GA 300601101
4707938585
Source: CMS National Downloadable File, September 2026.