Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1043283575
Practice Locations (2)
COASTAL CAROLINA PRIMARY CARE LLC
809 82ND PKWY
MYRTLE BEACH, SC 295724607
8432917182
COASTAL CAROLINA PRIMARY CARE LLC
295 A MIDLAND PKWY, SUITE 220
SUMMERVILLE, SC 294855901
8438513800
Source: CMS National Downloadable File, September 2026.