Graduated: 2017
NPI: 1124680905
Practice Locations (2)
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
171 ASHLEY AVE
CHARLESTON, SC 294258908
8437921414
24 ON PHYSICIANS OF SC LLC
100 CALLEN BLVD
SUMMERVILLE, SC 294862807
8545293100
Source: CMS National Downloadable File, September 2026.