Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 1987
NPI: 1124099890
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 320
COLUMBIA, SC 292036896
8034346771
Source: CMS National Downloadable File, September 2026.