Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1968
NPI: 1245208297
Practice Locations (2)
1 RICHLAND MED PK DR, SUITE 240
COLUMBIA, SC 292036831
8032566648
1 RICHLAND MEDICAL PARK, SUITE 240
COLUMBIA, SC 292036831
Source: CMS National Downloadable File, September 2026.