Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2011
NPI: 1033718713
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1906 HWY 521 BYP S
LANCASTER, SC 297207579
8032857456134
Source: CMS National Downloadable File, September 2026.