Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1013953330
Practice Locations (2)
1620 BROUGHTON ST
ORANGEBURG, SC 291154867
1620 BROUGHTON ST, ORANGEBURG PRIMARY
ORANGEBURG, SC 291154867
8035316030
Source: CMS National Downloadable File, September 2026.