Graduated: 1985
NPI: 1114987260
Practice Locations (3)
AEG SOUTH CAROLINA PROFESSIONAL PC
2313 N BELTLINE BLVD
COLUMBIA, SC 292043416
8037881335
AEG SOUTH CAROLINA PROFESSIONAL PC
275 HARBISON BLVD
COLUMBIA, SC 292122222
8037812071
AEG SOUTH CAROLINA PROFESSIONAL PC
4225 CAROLINA EXCHANGE DR, SUITE A
MYRTLE BEACH, SC 295794221
8439036262
Source: CMS National Downloadable File, September 2026.