Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2003
NPI: 1003017526
Practice Locations (2)
777 LAWNDRES HILL RD
GREENVILLE, SC 296072101
777 LOWNDES HILL RD, BLDG 1
GREENVILLE, SC 296072131
Source: CMS National Downloadable File, September 2026.