Graduated: 2005
NPI: 1588844096
Practice Locations (2)
GEORGIA BONE AND JOINT, LLC
125 GRAND OAK DR
FAYETTEVILLE, GA 302144632
7706265340
TIDEWATER PHYSICAL THERAPY LLC
203 N WASHINGTON HWY
ASHLAND, VA 230051623
8047981112
Source: CMS National Downloadable File, September 2026.