Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2012
NPI: 1245273663
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
403 STONY LANDING RD
MONCKS CORNER, SC 294613967
8437618282
Source: CMS National Downloadable File, September 2026.