Graduated: 1996
NPI: 1255396321
Practice Locations (2)
SPARTANBURG MEDICAL CENTER
389 SERPENTINE DR
SPARTANBURG, SC 293033026
8645606012
SPARTANBURG MEDICAL CENTER
853 N CHURCH ST, SUITE 410A
SPARTANBURG, SC 293033098
8645606928
Source: CMS National Downloadable File, September 2026.