Medical school: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1104894062
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 292036882
8032967846
Source: CMS National Downloadable File, September 2026.