Graduated: 2018
NPI: 1972068633
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
3950 AUSTELL RD
AUSTELL, GA 301061121
7707324022
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.