Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2006
NPI: 1053474163
Practice Locations (1)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
200 PATEWOOD DR, SUITE B400
GREENVILLE, SC 296156306
8644544368
Source: CMS National Downloadable File, September 2026.