Graduated: 1993
NPI: 1912989781
Practice Locations (9)
WELLSTAR MEDICAL GROUP LLC
3950 AUSTELL RD
AUSTELL, GA 301061121
7707324022
WELLSTAR MEDICAL GROUP LLC
8954 HOSPITAL DR
DOUGLASVILLE, GA 301342272
6788382585
WELLSTAR MEDICAL GROUP LLC
2518 JIMMY LEE SMITH PKWY
HIRAM, GA 301412068
7707324022
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
WELLSTAR MEDICAL GROUP LLC
1510 VERNON RD
LAGRANGE, GA 302404131
7068453905
WELLSTAR MEDICAL GROUP LLC
1514 VERNON RD
LAGRANGE, GA 302404131
7068807222
SAN JUAN REGIONAL MEDICAL CENTER, INC.
630 W MAPLE ST, SJHP GASTROENTEROLOGY
FARMINGTON, NM 874016113
5056096349
SAN JUAN REGIONAL MEDICAL CENTER, INC.
735 W ANIMAS ST, SJR GENERAL SURGEONS
FARMINGTON, NM 874016113
5056096300
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST
FARMINGTON, NM 874015630
Source: CMS National Downloadable File, September 2026.