Graduated: 1989
NPI: 1073578506
Practice Locations (5)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
817 BROWN ST
BISHOPVILLE, SC 290101178
8034849414
120 WILDEWOOD PARK DR, SUITE A
COLUMBIA, SC 292234313
8037887741
SANDHILLS MEDICAL FOUNDATION, INC.
PO BOX, SUITE 366
MC BEE, SC 29101
SANDHILLS MEDICAL FOUNDATION, INC.
30 CUTTINO RD
SUMTER, SC 291502667
8037782442
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
801 N PIKE W
SUMTER, SC 291531906
8037759364
Source: CMS National Downloadable File, September 2026.