Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1346217601
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1135 GREGG HWY NW
AIKEN, SC 298016341
8036417700
Source: CMS National Downloadable File, September 2026.