Graduated: 1996
NPI: 1629089354
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
2450 OLD MILTON PKWY
ALPHARETTA, GA 300092520
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.