Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1336231851
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1547 PKWY, SUITE 200
GREENWOOD, SC 296464081
8642238331
Source: CMS National Downloadable File, September 2026.