Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1033390661
Practice Locations (2)
114 GATEWAY CORPORATE BLVD, SUITE 425
Columbia, SC 292038800
110 GATEWAY CORPORATE BLVD, SUITE 130
COLUMBIA, SC 292038918
Source: CMS National Downloadable File, September 2026.