Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1174100762
Practice Locations (2)
SELF REGIONAL HEALTHCARE
207 HOLIDAY RD
MC CORMICK, SC 298353430
8643915011
SELF MEDICAL GROUP
298 COMMERCE DR
NEWBERRY, SC 291082953
8033213232
Source: CMS National Downloadable File, September 2026.