Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2015
NPI: 1174904346
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
400 OTARRE PKWY
CAYCE, SC 290333751
8038984566
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 291182042
8035361571
Source: CMS National Downloadable File, September 2026.