Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1053371716
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
220 FAISON DR
COLUMBIA, SC 292033210
8038988415
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2200 HARDEN ST
COLUMBIA, SC 292037107
8037375301
Source: CMS National Downloadable File, September 2026.