Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1053382259
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
130 HWY 252
ANDERSON, SC 296215054
8038988405
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
250 DEWEY AVE
SPARTANBURG, SC 293033009
8648580366
Source: CMS National Downloadable File, September 2026.