Graduated: 2008
NPI: 1952805905
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1625 HOSPITAL S DR, SUITE 150
AUSTELL, GA 301068111
7707326950
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.