Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1144959131
Practice Locations (3)
PO BOX, SUITE 670747
Marietta, GA 300660130
PO BOX, SUITE 670747
MARIETTA, GA 30066
205 BASINGHOUSE RD
COLUMBIA, SC 292121048
Source: CMS National Downloadable File, September 2026.