Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1285672444
Practice Locations (1)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
701 GROVE RD
GREENVILLE, SC 296054210
8645224880
Source: CMS National Downloadable File, September 2026.