Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2001
NPI: 1770570236
Practice Locations (4)
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
WELLSTREET OF GEORGIA PC
4475 W VILLAGE PKWY
ELLENWOOD, GA 302942869
7705077950
WELLSTREET OF GEORGIA PC
3366 HWY 42 S, SUITE 100
LOCUST GROVE, GA 302483014
4707592085
LEGACY HEALTHCARE SERVICES INC
901 HAYMON MORRIS RD
WINDER, GA 306807837
6787052123
Source: CMS National Downloadable File, September 2026.