Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1063079564
Practice Locations (2)
SELF REGIONAL HEALTHCARE
105 VINECREST CT
GREENWOOD, SC 296468031
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254398
Source: CMS National Downloadable File, September 2026.