Graduated: 2017
NPI: 1972018117
Practice Locations (2)
WELLSTREET OF GEORGIA PC
3999 AUSTELL RD, SUITE 901
AUSTELL, GA 301061160
7708093032
INNOVATIVE THERAPY GROUP
690 THORNTON WAY, SUITE A
LITHIA SPRINGS, GA 301222614
6783240654
Source: CMS National Downloadable File, September 2026.