Medical school: MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduated: 2006
NPI: 1326248535
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
10 RICHLAND MEDICAL PARK DR, SUITE A
COLUMBIA, SC 292036892
8034346567
Source: CMS National Downloadable File, September 2026.