Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1023063377
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
400 OTARRE PKWY
CAYCE, SC 290333751
8038984566
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 291182042
8035361571
Source: CMS National Downloadable File, September 2026.