Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1174072755
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
9 RICHLAND MEDICAL PARK DR, SUITE 110
COLUMBIA, SC 292036859
8034347961
Source: CMS National Downloadable File, September 2026.