Graduated: 2019
NPI: 1801419270
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
6095 PROFESSIONAL PKWY, A210
DOUGLASVILLE, GA 301345611
7709494188
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.