Graduated: 2016
NPI: 1255804019
Practice Locations (2)
CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC
6035 SHALLOWFORD RD, SUITE 101
CHATTANOOGA, TN 374211651
4234990003
CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC
6035 SHALLOWFORD RD, SUITE 101
CHATTANOOGA, TN 374211688
Source: CMS National Downloadable File, September 2026.