Graduated: 2016
NPI: 1942650056
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1120 15TH ST
AUGUSTA, GA 309120004
7067218623
WELLSTAR MEDICAL GROUP LLC
118 PARK AVE SW
AIKEN, SC 298013835
7067218623
Source: CMS National Downloadable File, September 2026.