Graduated: 2018
NPI: 1164802807
Practice Locations (2)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 292036863
8034344506
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2715 COLONIAL DR
COLUMBIA, SC 292036818
8038980123
Source: CMS National Downloadable File, September 2026.