Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1987
NPI: 1972659019
Practice Locations (2)
WELLSTREET OF GEORGIA PC
13081 HWY 9 N
ALPHARETTA, GA 300045150
7705216690
WELLSTREET OF GEORGIA PC
2292 PEACHTREE RD
ATLANTA, GA 303091147
4043829941
Source: CMS National Downloadable File, September 2026.