Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1245252774
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 295268903
8433475060
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
250 DEWEY AVE
SPARTANBURG, SC 293033009
8648580366
Source: CMS National Downloadable File, September 2026.