Graduated: 1997
NPI: 1093776254
Practice Locations (2)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
8 RICHLAND MEDICAL PARK DR, SUITE 420
COLUMBIA, SC 292038004
8035456050
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
8301 FARROW RD
COLUMBIA, SC 292033245
8038988405
Source: CMS National Downloadable File, September 2026.