Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1164422820
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
8 RICHLAND MEDICAL PARK DR, SUITE 300
COLUMBIA, SC 292038008
8032566511
Source: CMS National Downloadable File, September 2026.