Do you struggle with any of these symptoms?

Many TMJ remedies fail. And even if they work, they don’t last. Discover why.

Recognizing TMJ Symptoms

Common TMJ Disorder Symptoms in the head, jaw, ears, teeth, and neck

Discover what’s wrong with your TMJ and why you have symptoms. Get a clear plan to fix it.

You know your TMJ isn’t working properly but don’t know where to start to fix it. We’ll show you exactly what to do and how to get a detailed plan to fix it.

The most obvious TMJ symptoms are clicking and popping in the jaw, locking of the jaw and pain when you open, close or chew your food. Other obvious TMJ symptoms include grinding sounds in the joint, pain around the temple or tightness or fatigue in the muscles of the jaw.

Yet, there are less obvious symptoms that still come from TMJ dysfunction. So, you may not be feeling pain for the reason you think. This category includes headaches, migraines, neck pain, ear pain, ringing in the ears, vertigo, and blocked stuffy ears.

When you don’t have a way to identify what’s wrong with your TMJ, you get stuck in an endless cycle of symptomatic relief.

We’ve seen it happen to too many patients. You don’t know how to fix your TMJ so you end up trying one idea after another hoping something will work. In the end, you waste a ton of time, effort and money chasing symptoms, with nothing to show for it.

Here’s why.

You see, temporomandibular joint dysfunction (TMJ) can go undiagnosed by many physicians – which is why if the underlying cause of the pain is misdiagnosed, you won’t get better.

The truth is most TMJ remedies don’t work.

If the problem is misdiagnosed, the solution won’t work. This sounds so obvious, yet large numbers of doctors and patients alike rush headlong into treatment, sometimes with powerful drugs and yet a correct diagnosis was never made.

Even if you have a great doctor, your treatment will fail if your TMJ symptoms aren’t diagnosed properly.

At the Atlanta Center for TMJ, we’ll give you a treatment plan that works. Your custom plan will guide you through what’s causing your TMJ symptoms, the correct diagnosis and a detailed plan on how to fix it, using our proprietary MIRO Therapy®.

All with no shots, drugs or surgery. And results so effective, they’re unconditionally guaranteed.

What is the cause of TMJ symptoms and disorders?

The number one cause of TMJ symptoms and disorders is a misalignment of the temporomandibular joints caused by a poor bite relationship (how your teeth fit together). Even though your bite may feel perfectly comfortable and natural to you… your bite may not be properly aligning the ball in the socket of your TMJ. Keep in mind, it can be off by as little as a tenth of a millimeter and still be enough to cause severe pain and symptoms.

What’s the risk of leaving TMJ untreated?

Simply stated… TMJ symptoms worsen left untreated. It’s no different than ignoring symptoms in our knee, hip, shoulder or any other joint in our body. They get worse over time. As the TMJ disorder continues, more damage occurs. The bones can degenerate, muscles become damaged, fatigued and weakened. Nerves become inflamed. Mechanical function in the joint becomes impaired.

How can I get relief for my TMJ?

Successfully treating your TMJ doesn’t have to be complicated. First, get the correct diagnosis. Make sure your TMJ symptoms are diagnosed by a TMJ specialist who knows how to properly identify your symptoms and their true, underlying cause. Second, get the correct plan of treatment. At the Atlanta Center for TMJ you’ll get both. Our plan will work for you. We’ve successfully treated thousands of cases and they all started with one thing. A correct diagnosis.

Take the guesswork out of treating your TMJ.

At your consultation you’ll meet one-on-one with the guy THE WALL STREET JOURNAL calls, “One of the most sought after TMJ specialists in the world.”  Dr. Fred Abeles. The best part? He’ll make sure your TMJ symptoms are diagnosed properly the first time. Here’s what your one-on-one consultation will do for you:

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Are you tired of experiencing pain?

Our easy step-by-step process has helped thousands of patients just like you recover quickly… and prevent joint damage.

Restore proper function

Say goodbye to pills or shots. And say goodbye to clicking, popping or locking.

No more fear

Enjoy foods you previously avoided. Open wide again without fear.

Guaranteed results

Have confidence. You’ll love your results. Or your money back.

“Dr. Abeles and his staff have been nothing short of miracle workers to relieve my TMJ symptoms. I highly recommend them to anyone suffering from TMJ. Their knowledge, compassion and treatment are incomparable!”


“My husband and I joke that if the house caught fire, we wouldn’t run in to save the photos and memories. We’d run through the fire to get my orthotic! It has truly changed my life. I can’t believe Dr. Abeles was able to correct my TMJ without surgery.

Thank you Dr. Abeles for giving me my life back and correcting my TMJ!”


“After just two weeks of wearing my bite appliance all of my TMJ symptoms went away. I feel like I’ve gotten my life back.

I forgot what it felt like to feel normal! I couldn’t be happier with the results of my treatment. Dr. Abeles and Angie have changed my life and I am so grateful!”


“The top authority on TMJ diagnosis and treatment.”

– USA Today

TMJ Symptoms.

It’s what you DON’T KNOW that hurts you…

Now is the time to get the facts for yourself.

How it works

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We know what you're going through. We can help.

“I consider them a miracle in my book of life!”

– April Rogers

No shots ever

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We understand how frustrating it can be to be dependent on shots or pills.

By 2025 there will be 5 billion prescriptions dispensed in the US. All with harmful side-effects.

Our approach is different. And it makes a difference.

We only use functional therapy to relieve TMJ pain. Why?

Unlike shots and drugs which temporarily mask symptoms, MIRO Therapy® treats the underlying cause of the pain once and for all.

We’re done with shots, drugs and surgery.

We avoid them and still get amazing results.

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Enjoy food again without fear of pain or locking

  • Enjoy all of your favorite foods without limitation
  • No more fear of clicking, popping or locking
  • Stop joint damage and joint degeneration
  • Get a long-term solution to your pain without shots, drugs or surgery

How much better could you be feeling with MIRO Therapy®?

“It was the best money I’ve ever spent!”

– Judy Barry

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The warning signs are everywhere

If we could leave you with just one thought today, it’s this… don’t ignore your symptoms.

Our job is to give you the information we’d most want if our roles were reversed. That’s why we’ve repeatedly preached here – don’t ignore your symptoms. Most people have no idea how much damage is occurring when their joints are clicking or popping.




Many people struggle with jaw clicking or popping. But most don’t realize the damage occurring to the joint behind the scenes. The click or pop is the warning signal the joint isn’t working correctly. Many ignore it… at their own peril.

Take a few minutes and read the, admittedly, long description below. You’ll be glad you did. You’ll understand what’s actually happening in your joints.

Now, you can make an informed decision whether you still want to ignore your clicking and popping or not.


Jaw-clicking or popping is the result of temporomandibular joint dysfunction (TMJ). Symptoms of pain and muscle tightness resulting from TMJ may be exacerbated by grinding, clenching, or chewing gum. If jaw-clicking or popping is ignored, it may result in bone rubbing against bone causing further joint deterioration.

If one or both of your jaw joints pop or click when you open or close your mouth, there’s a problem. As with any joint in our body, whether it be a shoulder, knee or hip, we should be able to go through a complete range of motion without any pain, impingement, or popping in the joint.

Any sound in the joint upon movement is one of the first warning signs that the joint is not functioning properly.

Unfortunately, if the condition is allowed to continue for a period of time, the consequences may worsen.


First, some basic anatomy to help you to visualize and understand what goes on in your TMJ. The TMJ is a joint formed by the meeting of the temporal bone of your skull with the condyle of your mandible. Translation: Your lower jaw is called the mandible. It ends in the area in front of your ear with the condyle. Let’s call the condyle the “ball” of a ball and socket joint. The base of your head has the articular eminence and fossa of the temporal bone. Let’s just call that the “socket.”

Press two fingers of each hand on your face directly in front of your ears. Now open and close. You’ll feel the TMJ joint working.

The two bones (condyle/ball and temporal bone/socket) come together at the temporomandibular joint (TMJ). As in any joint in our body, there should not be bone rubbing or hitting against bone or else both parts of the bone in the joint will break down and become arthritic, sclerotic and deteriorate.


There is a little fibrous disc or cushion between the two pieces of bone to prevent them from rubbing against each other and causing pain and breakdown.

Picture in your mind a Lifesavers candy. It’s a bi-concave disc, thinner in the center and thicker on the edge. No, your TMJ disc is not a Lifesavers candy, but it will help you visualize the disc. It’s thin in the center and thick on the edges.

We bring our teeth together thousands of times every day as we speak, chew and swallow. No matter where we move our jaw the little disc between the two bones is supposed to track with it, staying between the two bones, protecting them from rubbing or hitting against each other. In a normally functioning TMJ joint this is exactly what happens. The little disc always stays between the ball and socket, protecting the bones, acting as a little cushion to prevent any breakdown.


However, if the bite (where our teeth fit together) and the TMJ joint are not in sync with each other, then the muscles, tendons and ligaments that move and position the jaw are stressed.

Think of it this way. If you have a chair and one leg is shorter than the other three, then no matter how you position the chair, three legs touch down and up leg is up. They’re never all in sync. Something’s always out of balance, out of whack.

Same with the TMJ. If the bite (where our teeth fit together) and the TMJ position are not in harmony, then the muscles, tendons and ligaments that act on the TMJ and the TMJ disc, are not in balance either. Here’s what happens…

When someone opens their mouth, the “ball” (condyle of the mandible) rotates and slides downward against the “socket” (articular eminence of the temporal bone of the skull). The little “shock absorber” disc is supposed to track and stay between the two bones.


But when the TMJ and the bite are not in balance, the muscles pull the disc forward out of place. This most often occurs when the condyle/ball is positioned too far backward and this condition is called an ‘anteriorly displaced disc.’ Now, when the person opens their mouth the ball/condyle slides down and forward and tries to go back on the disc. As the condyle rides over the thicker back edge of the disc there’s a pop or click. That’s what you feel and what is happening when you open. The ball went back onto the disc temporarily. Unfortunately it’s supposed to be on the disc all the time.

Then when they close, the condyle/ball goes backward and up and it slides off the disc. Once again, as the ball rides over the thicker back edge of the disc, there is a pop or click. We call this a reciprocal click. It means there’s one click as they open and get back on the disc, and a second click when they close and ride back off the disc as it gets pulled forward out of place.

Most people just feel or hear a click or pop when they open. Some feel both. So what’s all the fuss over a little click or pop? Here’s the problem…

If it’s allowed to continue over a long enough period of time, one of two things will happen.

  • The disc can become perforated.
  • The disc will be displaced.

Let’s go over each result.


First, the disc can become damaged or perforated. If, instead of staying in proper place between the two bones and acting as a cushion/shock absorber, the disc is constantly being pulled forward out of place, and we ride on and off the disc thousands of times every day, eventually the disc gets worn out, worn through and perforated.

If this occurs we now have bone hitting on bone and the joints themselves begin to deteriorate and there can be severe pain when opening or closing the jaw. We can see the damage caused to the ball and socket in a special image called a CBCT scan.

In the beginning stages of destruction of the TMJ we may see a flattening of the condyle or a beaking of the condyle. In the later stages of deterioration there can be complete arthritic destruction of the condyle requiring a condylectomy or surgical removal of the condyle.


The second problem is that the disc can become displaced forward. We call this an ‘anteriorly displaced disc without reduction’. Translation: the disc is stuck in front of the ball and socket and does not go back into place when we close our mouth.

The ligaments that reposition the disc into place can eventually become lax (fatigued, stretched, worn out) and lose the ability to position the disc in its proper place between the condyle and fossae (ball and socket).

If the disc is constantly being pulled forward out of place, the ligament that is supposed to keep it in place stretches abnormally when the disc is out of the ball and socket. Eventually it just gives out. Now the disc is stuck in front of the condyle and fossae preventing the TMJ joint from working properly.

A common scenario that someone reports is this… They had a joint that was clicking and popping. One day the clicking/popping stopped. Shortly thereafter they wake up one morning and can’t open their jaw more than an inch or so. This is called “closed lock.” Translation: the disc is stuck out in front of the ball and socket preventing the condyle (ball) from rotating and gliding down the articular eminence (socket). There’s an obstacle in the way… a roadblock (the disc.)

Besides the extremely limited opening range of motion from an anteriorly displaced disc, the other sign we see is that the lower jaw when trying to open, may not track straight down when opening, but instead deviates to one side. In essence the condyle (ball) is trying to get around the obstacle (disc) so it deviates off its normal path trying to find a way to get around it (which it can’t.)

Again, over time the bones of the TMJ (ball and socket) now begin to degenerate since the shock absorber (articular disc) is no longer between them to protect them from rubbing against each other. As with the perforated disc scenario, the condyle can become, flattened, beaked or resorbed.


As in any other part of our body, the longer something is allowed to degenerate and stay in a diseased state, the more difficult it becomes to return to a normal healthy state and the chance of the condition becoming chronic and irreparable increases.

In the early stages of disc displacement, the disc can sometimes be “recaptured”. Translation: The disc can be repositioned back in place between the condyle and fossa. The longer it has been displaced, the less the chance of recapture.

It can be repositioned by restoring balance between the TMJ joint and the bite to achieve relaxed muscles that allow normal function without pulling the disc back out of place every time one opens and closes. This is accomplished by the use of a bite splint (orthotic) that allows the jaw, teeth and TMJ all to be in harmony and balance with one another, so the muscles that position the jaw are no longer at war with the TMJ joint and disc.

In the later stages, the disc can only be repositioned by surgery or not be able to be recaptured at all.


TMJ symptoms typically are not isolated, unrelated problems. They’re usually symptoms of a single, larger underlying problem.

The TMJ is the only joint in the human body that’s entirely positioned by where teeth come together. If the bite aligns the jaw joints incorrectly, and the discrepancy can be as small as a few hundredths of an inch, the muscles of the head and neck that have to stabilize and support the jaw joints in that position can fatigue, stress or spasm.

Often upon close inspection, the bite may be misaligning the lower jaw and jaw joints resulting in the muscles of the head and neck creating tremendous pain. And the tendons, ligaments, articular disc and condylar head can be malfunctioning as a result of the faulty bite.

So clicking, popping, locking, limited range of motion, headaches, migraines, facial pain, neck pain and other symptoms many times are NOT separate, unrelated symptoms. They are signs of TMJ progression.

Rather, they are a compilation of ONE underlying problem that many times has been misdiagnosed or completely overlooked in the past.

Stop treating just the symptoms.

There are many different treatment options available and just as many doctors to provide them. Everyone can tell you their remedy works miracles. How do you choose correctly? Who can you trust?

With everyone stating their way is the best way, finding the right treatment can be difficult. Choose the wrong doctor or receive the wrong diagnosis and it can result in wasted time and effort, not to mention money or worse yet, further damage.

Here’s what it takes to achieve proper treatment results:

Get THE ONE THING that matters most, right. Correctly identify the underlying tissue that’s causing the symptoms and dysfunction. Then – you can treat it successfully.

Don’t settle for a treatment approach that only wants to address your symptoms but not the underlying cause. If you do, a far more serious problem occurs…

The actual condition continues to deteriorate – unabated.

There’s an important difference in our approach.

Our Doctor

Dr. Abeles is one of the most sought after TMJ experts in the world. He has decades of experience to identify and treat these symptoms and disorders successfully. And his therapy is so unique it’s unavailable anywhere else.

His job is to make physiological connections that nobody else sees – to connect the dots better than anyone else – to get to the bottom of the problem once and for all.

Our Diagnostic Process

The amount of time we spend in the diagnostic phase before beginning treatment is unrivaled. We do this to be certain we get it right the first time.

No misdiagnosis. No five-minute visit and handful of prescriptions. Only after a complete and thorough understanding of the entire system can a proper diagnosis be made. Treatment success hinges upon it.

Our Technology

Technology has revolutionized the diagnosis and treatment of these disorders. We use highly specialized computer analysis to understand the behavior and function of the jaw, temporomandibular joints and muscles of the head and neck right down to the tiniest nuance. No detail is overlooked.

The secret behind our treatment success isn’t hard to understand…

Stop guessing. Stop masking symptoms. Stop settling for an incomplete or hurried diagnosis. A shortsighted approach will not beat a comprehensive approach.

It won’t come close. Consider this…

We now possess the technology and knowledge to precisely determine the actual underlying cause of TMJ symptoms and dysfunction.

Our proprietary MIRO Therapy® can successfully treat your TMJ, headache or migraine symptoms without shots, drugs or surgery.

MIRO stands for mandibular, image-guided, rehabilitative orthopedics. To learn more about this breakthrough technology and treatment – TAP HERE.

TMJ Disease Progression

Nobody wakes up one day and says, “Wow, today I think I’d like to go get a new knee.” Like any part of the human body, if a system is not healthy and stable, then it’s slowly and surely degenerating. And just as a knee can degenerate to the point where it requires total replacement, so can the temporomandibular joint.

The earlier your condition falls on the continuum of degeneration…
the easier it is to resolve, the better the prognosis, the less time and effort involved to recovery and the more complete the healing.

The later your condition falls on the continuum of degeneration…
the worse the prognosis, the more time and effort involved to recovery and the less complete the healing.

Simply Stated: The earlier treatment is pursued, the greater the chance for recovery.

Just the hard facts

Presented below are the facts. They’re presented here not to scare you or convince you to pursue treatment, as we believe everyone should make their own choices regarding their health and finances.

The facts are presented here to help you understand what is actually going on in your joints.

The TMJ is arguably the most complex joint in the human body. It’s the only joint where both the left and right joints have to function simultaneously in complete harmony. It’s the only joint that does not just purely rotate. It’s a gliding, sliding rotating joint. It’s the only joint in the human body where the end point in the range of motion is not dictated by muscle. In the TMJ, the end point of our range of motion is dictated by when and where the teeth come together with our bite. If our bite forces the joint into a less than optimal position, problems can develop.

It starts innocently enough

Temporomandibular joint disease starts innocently enough with only muscle incoordination (dyskinesia) caused by muscle fatigue or atrophy. As the disease progresses, actual morphologic physical changes to the hard tissues (the condyle, the fossa and the disk) and the soft tissues (the tendons, the ligaments and muscles) occur.

Clicks or pops indicate that the disk in the joint is displaced forward out of place.

TMJ Disease Progression

Your muscles play a huge role in the problem

Throughout the entire continuum of dysfunction, the muscles that affect the positioning of the TMJ, our jaw, our bite and whole upper body posture are majorly involved in the process. If the bite and joint are not working together properly, the muscles will be sore and fatigued causing pain. To put it simply:

Muscles are muscles. Hold your jaw in the wrong position for an hour, and it’s like chewing gum non-stop for twelve hours. Either way, you end up with tired, sore muscles. Your muscles don’t care. They’ll just produce pain if you abuse them.

Headaches, facial pain, neck pain, shoulder pain and limited range of motion can all be the result of muscle dysfunction. As stated previously, over 90% of the pain and dysfunction starts and ends with the muscles.

The progression of temporomandibular joint disease continuum:

You can probably make an educated guess of where you fall on this continuum. We can determine precisely where you are and what your likely prognosis is.

1. Muscle soreness and tenderness.
There is occasional pain around the joint when opening or chewing.

2. Occasional clicks or pops in the joint when opening.
The sooner the click occurs upon opening, the better the prognosis for recapturing the displaced disk. Clicks are classified into three categories; early opening click, mid opening click and late opening click.

The early opening click occurs early in the opening cycle. In other words you feel a click almost as soon as you open your mouth. This means the condyle is not displaced far posteriorly and the disk is still close by in front of the condyle. Since the distance traveled by the condyle to get back on the disk isn’t far, the click occurs quickly when we open.

The mid opening click occurs about half way between when your mouth is fully closed versus fully open. The condyle is displaced further posteriorly and the disc is further away in front, therefore it takes more time for the condyle to reach the disk and get back on it. This click has a more guarded prognosis for recapturing the disk (getting you back on your disk), stabilization and healing.

The late opening click occurs late in the opening cycle. In other words your mouth is pretty wide open before you feel the click. The condyle is retruded significantly posteriorly and the disk is displaced far in front as the ligament that tethers the disk back in place is now more damaged, stretched and fatigued. Therefore it takes even more time for the condyle to reach the displaced disk and get back on it when opening. This click has a poor prognosis for complete recapture, stabilization and healing.

3. Intermittent clicking and popping.
The sounds occur more frequently. There may now be multiple sounds when opening or closing the jaw. The jaw may begin to deviate to one side when opening slowly. It does not open perfectly straight up and down any more.

<spanstyle=”font-size: 150%; color: #0097d1;”>4. First episode of closed lock.
You try to open your mouth normally but you are unable to open as wide as normal. What has happened is the condyle was unable to get back up on the disk at all, so the disk acts as a ‘roadblock’ preventing the condyle from sliding down and forward, so you can’t open fully.

5. Intermittent closed lock.
Two or three episodes have now occurred, possibly over an extended period of time, where you were unable to open your mouth fully. Each time it eventually went away. Unfortunately all the while the disk is further deforming, the ligament that tethers the disk in place is fatiguing or tearing and the degeneration is progressing.

6. Completely locked out, anteriorly displaced disk.
The disk is now displaced in front of the condyle and the condyle is unable to get back on the disk at all. At this point the clicking or popping ceases. The click was the sound made by the condyle when it rode back onto the disk. Now that the disk is too far displaced and deformed, the condyle cannot get back onto it, hence there is no more click or pop.

At this point you are functioning on the posterior collateral ligament and retro-discal tissues.

7. Degeneration and thinning of the retro-discal tissue.
Unfortunately these tissues were not designed to be functioned on by the condyle, so they degenerate and perforate quickly.

<spanstyle=”font-size: 150%; color: #0097d1; line-height: 150%;”>8. Perforation of the retro-discal tissue, the posterior collateral ligament and/or the lateral collateral ligament leading to further instability in the joint.

9. Crepitus. Clicking and popping has ceased.
The disk is stuck out front. The ligament that was acting as a shock absorber in the absence of the actual disk, is now perforated, so for the first time there is now bone rubbing on bone. The condyle and the fossa (the ball and socket) are rubbing against each other. There’s no cushion or shock absorber in between them any more.

The sound made by the bone rubbing on bone is a sandy, gravelly, crackling, grinding type of sound. This is called crepitus.

10. Accelerated degeneration of the condyle and fossa.
The bones of the TMJ ball and socket joint break down from the pressure and compression. There’s a loss of vertical height in the joint. The muscles that position the joint shorten and atrophy.

11. Compensation begins in the contra-lateral joint (the other TMJ joint) due to the dysfunction in the original joint.

12. The degenerative process repeats in the other joint.

13. Bi-lateral closed lock.
Severe degeneration in both joints. Unable to function, open or chew properly.

If Nothing Else… Know This

During this entire process, your muscles are compensating for the incorrect position of the condyle/fossa and they fatigue and spasm causing many varied TMJ pain symptoms.

The main point for you to understand is that TMJ dysfunction is a degenerative disease that slowly but surely progresses from normal function to muscle in-coordination, to disc movement, to disc displacement, to early joint degeneration, to advanced joint degeneration.

The Bottom Line

Regardless of where you choose to receive treatment, get help from a TMJ specialist. Don’t ignore symptoms. They will progressively worsen over time and the underlying structures will degenerate. And for goodness’ sake – don’t just mask symptoms.

What they call ‘symptomatic relief’ only gets you so far. After that, it’s pain again from the muscles and joints until you mask it again. Bring that approach seven days a week for 10 years and you actually might wake up one day and be looking for a new joint.

If we offered to successfully treat your TMJ without shots, drugs or surgery and with guaranteed results...

Would you take us up on that offer? MIRO Therapy® has helped thousands of patients just like you recover quickly. Are you next?

Schedule your consultation now!
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Many of Atlanta's top ENT's, neurologists, internists and dentists trust us to help their patients with chronic headaches and TMJ.

How about you?

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Many of Atlanta's top ENT's, neurologists, internists and dentists trust us to help their patients with chronic headaches and TMJ.

How about you?


Our office is located in Marietta, Georgia – even though our mailing address is Atlanta. Regardless, we serve not only Marietta, Kennesaw and Cobb County – but also all of the greater Atlanta metropolitan area. Patients routinely travel to us from all over the United States.


Whether you live in Atlanta, Marietta, Sandy Springs or any of the surrounding metro areas, or you are traveling from out-of-town, just know we’re conveniently located right off I-75 and Windy Hill Road.


Our office is located in Marietta, Georgia – even though our mailing address is Atlanta. Regardless, we serve not only Marietta, Kennesaw and Cobb County – but also all of the greater Atlanta metropolitan area. Patients routinely travel to us from all over the United States.


Whether you live in Atlanta, Marietta, Sandy Springs or any of the surrounding metro areas, or you are traveling from out-of-town, just know we’re conveniently located right off I-75 and Windy Hill Road.