Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 1973
NPI: 1265422992
Practice Locations (2)
CARESOUTH CAROLINA INC.
1268 S 4TH ST
HARTSVILLE, SC 295500703
8433323422
1304 W BOBO NEWSOM HWY
HARTSVILLE, SC 295504710
8436695162
Source: CMS National Downloadable File, September 2026.