Graduated: 1994
NPI: 1083620462
Practice Locations (3)
NOVANT HEALTH MEDICAL GROUP, LLC
612 MOCKSVILLE AVE
SALISBURY, NC 281442732
7042105061
24 ON PHYSICIANS PC
955 RIBAUT RD
BEAUFORT, SC 299025441
8435225005
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254111
Source: CMS National Downloadable File, September 2026.