Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1740239730
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
4904 TIMBER RIDGE DR
DOUGLASVILLE, GA 301351831
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.