Graduated: 2022
NPI: 1225712748
Practice Locations (2)
FAMILY TIES OF BRUNSWICK, LLC
5320 BRIDGERS RD, SUITE 4
SHALLOTTE, NC 284704737
9107544097
CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC
6035 SHALLOWFORD RD, SUITE 101
CHATTANOOGA, TN 374211651
4234990003
Source: CMS National Downloadable File, September 2026.