Graduated: 1985
NPI: 1245363688
Practice Locations (2)
SPORTS MEDICINE AND REHAB THERAPY, LLC
360 PEACHTREE ST
JESUP, GA 315450244
9125592071
SPORTS MEDICINE AND REHAB THERAPY, LLC
301 PINEVIEW DR
WAYCROSS, GA 315016209
Source: CMS National Downloadable File, September 2026.