Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2025
Offers telehealth
NPI: 1164319224
Practice Locations (3)
12034 BIG CANOE
BIG CANOE, GA 301435154
PO BOX, SUITE 68
Hauula, HI 967170068
PO BOX
WENATCHEE, WA 98807
Source: CMS National Downloadable File, September 2026.