Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1790895357
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
3324 PEACH ORCHARD RD
AUGUSTA, GA 309064867
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.