Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1184689515
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
3 RICHLAND MEDICAL PARK DR, SUITE 310
COLUMBIA, SC 292036862
8034348323
Source: CMS National Downloadable File, September 2026.